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Individual

LEE ANN PRICE

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
600 LINCOLN AVE, 2220 LANTZ, CHARLESTON, IL 61920-3011
(217) 581-7615
Mailing address
10875 E COUNTY ROAD 600N, MATTOON, IL 61938-8521
(217) 549-0439

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096-0000892
IL

Other

Enumeration date
02/13/2006
Last updated
07/08/2007
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