Individual
ALEXANDRA VERNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2 E SOUTH ST, GALESBURG, IL 61401-4938
(309) 341-7378
(309) 341-7091
Mailing address
2 E SOUTH ST, GALESBURG, IL 61401-4938
(309) 341-7378
(309) 341-7091
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.003049
IL
Other
Enumeration date
11/30/2015
Last updated
11/30/2015
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