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Individual

MRS. EMILY JO WHITSON

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
222 NW GROVE STREET, HOPEDALE MEDICAL COMPLEX, HOPEDALE, IL 61747
(309) 449-4501
(309) 449-4525
Mailing address
1419 RIDGEPORT AVE, BLOOMINGTON, IL 61704-2335
(309) 661-8671

Taxonomy

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

Other

Enumeration date
03/10/2006
Last updated
07/08/2007
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