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Individual

KRISTIN DAWN GUBERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
809 N WALL AVE, JOPLIN, MO 64801-1166
(417) 439-5747
Mailing address
809 N WALL AVE, JOPLIN, MO 64801-1166
(417) 439-5747

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2014001993
MO

Other

Enumeration date
07/04/2016
Last updated
11/26/2016
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