Individual
MOLLY LYNN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 UNIVERSITY CIR, WESTERN ILLINOIS UNIVERSITY, MACOMB, IL 61455-1367
(309) 298-2135
Mailing address
630 S JOHNSON ST, MACOMB, IL 61455-2843
(217) 316-6794
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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