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Individual

ERIN ELIZABETH BLACKBURN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LAT, ATC

Contact information

Practice address
260 E ARMY TRAIL RD STE D, BARTLETT, IL 60103-3005
(630) 830-8600
Mailing address
260 E ARMY TRAIL RD STE D, BARTLETT, IL 60103-3005
(630) 830-8600

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096003476
IL

Other

Enumeration date
09/11/2020
Last updated
09/11/2020
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