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Individual

NICHOLAS A SNYDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4970 OAKLAND AVE, SAINT LOUIS, MO 63110-1402
(618) 402-6518
Mailing address
205 E EMILY ST, FREEBURG, IL 62243-1509
(618) 402-6518

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2021043249
MO

Other

Enumeration date
01/28/2019
Last updated
07/26/2022
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