Individual
CHARLES EDWARD HARRIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSED ATC
Contact information
Practice address
1020 DUNHAM RD, ST CHARLES, IL 60174-1440
(630) 513-0064
Mailing address
1218 S 11TH ST, ST CHARLES, IL 60174-3711
(630) 513-0064
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
089302586
IL
Other
Enumeration date
07/22/2013
Last updated
07/22/2013
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