Individual
DAWSON TATE WYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATS
Contact information
Practice address
1102 W CENTER ST, SALEM, MO 65560-2744
(573) 453-6034
Mailing address
1102 W CENTER ST, SALEM, MO 65560-2744
(573) 453-6034
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/21/2022
Last updated
09/21/2022
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