Individual
MS. MINDY E BINGAMON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
2425 COUNTRY TRL, #47, DECATUR, IL 62526-3959
(217) 620-3994
Mailing address
2425 COUNTRY TRL, #47, DECATUR, IL 62526-3959
(217) 620-3994
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
02/24/2006
Last updated
07/08/2007
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