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Individual

BRITTANY LAURENT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, ATC

Contact information

Practice address
3631 S 6TH ST, SPRINGFIELD, IL 62703-4777
(217) 744-7529
Mailing address
3631 S 6TH ST, SPRINGFIELD, IL 62703-4777
(217) 744-7529

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.002605
IL

Other

Enumeration date
07/18/2012
Last updated
07/18/2012
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