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MR. TIMOTHY PATRICK TRUPIANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
8235 CLAYTON RD, SAINT LOUIS, MO 63117-1107
(314) 961-3787
Mailing address
12940 BRYCE CANYON DR APT C, MARYLAND HEIGHTS, MO 63043-4541
(314) 205-1026

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
100182
MO

Other

Enumeration date
12/15/2008
Last updated
08/27/2012
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