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Individual

ASHLEY RICHARDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
209 S KINGSHIGHWAY ST, SAINT CHARLES, MO 63301-1693
(734) 787-6005
Mailing address
117 N 3RD ST APT 15, SAINT CHARLES, MO 63301-2867
(734) 787-6005

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2016023480
MO
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
12/15/2015
Last updated
04/12/2017
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