Individual
MADISON RAE DAWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
896 NANCY RD, SANDWICH, IL 60548-9354
(630) 463-8770
Mailing address
896 NANCY RD, SANDWICH, IL 60548-9354
(630) 463-8770
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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