Individual
MR. JEFFREY BRUCE ROUNDS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.S., A.T.C., L.A.T
Contact information
Practice address
102 W KENWOOD AVE, DECATUR, IL 62526-4300
(217) 876-6820
Mailing address
312 S WOODALE AVE, DECATUR, IL 62522-2551
(217) 428-7167
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
11/04/2005
Last updated
07/08/2007
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