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Individual

DOUG GUTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
27650 FERRY RD, WARRENVILLE, IL 60555-3845
(630) 225-2663
Mailing address
27650 FERRY RD, WARRENVILLE, IL 60555-3845
(630) 225-2663

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096002351
IL

Other

Enumeration date
05/02/2013
Last updated
05/02/2013
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