Individual
AMY GAULE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
208 W 9TH AVE, MONMOUTH, IL 61462-2684
(318) 768-8369
Mailing address
208 W 9TH AVE, MONMOUTH, IL 61462-2684
(318) 768-8369
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096003378
IL
Other
Enumeration date
05/13/2016
Last updated
05/13/2016
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