Individual
REGHAN L MULDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 UNIVERSITY CIR, MACOMB, IL 61455-1390
(309) 298-1414
Mailing address
1531 W JACKSON ST APT 10, MACOMB, IL 61455-3671
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.016357
IL
Other
Enumeration date
07/17/2026
Last updated
07/17/2026
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