Individual
ASHLEY LYNN CIRRENCIONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1275 N CONVENT ST, BOURBONNAIS, IL 60914-8210
(815) 936-1855
Mailing address
18300 W PEOTONE RD, WILMINGTON, IL 60481-8982
(815) 258-5536
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096004300
IL
Other
Enumeration date
07/06/2017
Last updated
07/06/2017
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