Individual
CURTIS ALVIN JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1 UNIVERSITY PLZ # MS 7000, CAPE GIRARDEAU, MO 63701-4710
(573) 651-5084
Mailing address
ONE UNIVERSITY PLAZA M.S. 7000, CAPE GIRARDEAU, MO 63701
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2015024568
MO
Other
Enumeration date
02/24/2017
Last updated
02/24/2017
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