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Individual

MR. SETH VILAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
AT

Contact information

Practice address
2600 W MAIN ST, BELLEVILLE, IL 62226-6651
(618) 239-6109
Mailing address
2600 W MAIN ST, BELLEVILLE, IL 62226-6651

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096004380
IL

Other

Enumeration date
04/13/2017
Last updated
04/13/2017
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