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Individual

ALEXIS ROMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
299 E 2ND ST, MILAN, MO 63556-1333
(660) 221-7445
Mailing address
299 E 2ND ST, MILAN, MO 63556-1333
(660) 221-7445

Taxonomy

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

Other

Enumeration date
09/11/2025
Last updated
10/24/2025
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