Individual
LOUIS D. BAILON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
901 S NATIONAL AVE # PROF160, SPRINGFIELD, MO 65897-0001
(908) 499-2022
Mailing address
1028 E SAINT LOUIS ST # 1415D, SPRINGFIELD, MO 65806-2590
(908) 499-2022
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/06/2020
Last updated
06/06/2020
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