Individual
MARY GRACE INYART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
3803 N PRAIRIETON RD, CLAREMONT, IL 62421-2622
(618) 879-1018
Mailing address
3803 N PRAIRIETON RD, CLAREMONT, IL 62421-2622
(618) 879-1018
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.005523
IL
Other
Enumeration date
06/29/2023
Last updated
06/29/2023
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