Individual
MR. ADRIAN JONEL OLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
A.T.C., L.A.T.
Contact information
Practice address
1418 COLLEGE DR, MOUNT CARMEL, IL 62863-2638
(618) 262-8621
Mailing address
711 PLUM ST, MOUNT CARMEL, IL 62863-2060
(618) 317-6109
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
08/11/2014
Last updated
08/11/2014
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