Individual
GRANT DUNCAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
4701 176TH AVE, SHERRARD, IL 61281-9603
(309) 593-2175
Mailing address
520 VALLEY VIEW DR STE 200, MOLINE, IL 61265-6152
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
085172
IA
2255A2300X
Athletic Trainer
Primary
096.004383
IL
Other
Enumeration date
06/13/2017
Last updated
06/13/2017
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