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Individual

BRENDAN BOYLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
100 E NORMAL AVE, KIRKSVILLE, MO 63501-4200
(660) 785-4000
Mailing address
3666 CHANEY CT, SAINT LOUIS, MO 63114-4101

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
12/20/2017
Last updated
12/20/2017
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