Individual
CALEB ALLEN GARDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
647 N ROCKINGHAM AVE, NIXA, MO 65714-8711
(417) 536-7363
Mailing address
647 N ROCKINGHAM AVE, NIXA, MO 65714-8711
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/07/2018
Last updated
06/07/2018
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