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Individual

GILLIAN GAWENDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
345 HIGHLAND DR, RANTOUL, IL 61866-2220
(217) 766-5813
Mailing address
345 HIGHLAND DR, RANTOUL, IL 61866-2220
(217) 766-5813

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
11/09/2023
Last updated
11/09/2023
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