Individual
ABIGAIL LOUISE CONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
701 COLLEGE RD, LEBANON, IL 62254-1291
(618) 537-6917
Mailing address
20 E MEADOW LN, ELLISVILLE, MO 63021-4704
(636) 675-5281
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.004733
IL
Other
Enumeration date
06/22/2020
Last updated
06/22/2020
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