MR. Alonzo Edward Range JR., MBA,ATS
NPI #1144923574 in Leavenworth, Kansas
Provider Information
- NPI Number
- 1144923574
- Entity Type
- Individual
- Name
- MR. Alonzo Edward Range JR., MBA,ATS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- MBA,ATS
- Enumeration Date
- Mar 24, 2023
- Last Updated
- Mar 24, 2023
Practice Location
- Address
- 4100 S 4TH ST
- City
- Leavenworth
- State
- Kansas
- ZIP Code
- 66048-5082
- Phone
- (800) 752-7043
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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