Individual
GILLIAN RACHEL BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
400 16TH ST, MENDOTA, IL 61342-1228
(815) 766-1164
Mailing address
400 16TH ST, MENDOTA, IL 61342-1228
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IA
Other
Enumeration date
05/15/2018
Last updated
05/15/2018
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