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Individual

MEGAN ELIZABETH SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MED, LAT, ATC

Contact information

Practice address
110 HORTON FIELD HOUSE, CAMPUS BOX 7130, NORMAL, IL 61790-7130
(309) 438-7246
Mailing address
110 HORTON FIELD HOUSE, CAMPUS BOX 7130, NORMAL, IL 61790-7130
(309) 438-7246

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096004358
IL

Other

Enumeration date
02/08/2017
Last updated
02/08/2017
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