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Individual

MISS JESSICA LYNN BALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
310 E PARRISH AVE, LITCHFIELD, IL 62056-1246
(217) 494-5254
Mailing address
310 E PARRISH AVE, LITCHFIELD, IL 62056-1246
(217) 494-5254

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.002773
IL

Other

Enumeration date
07/26/2012
Last updated
07/26/2012
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