Individual
SEAN FAULKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
639 38TH ST, ROCK ISLAND, IL 61201-2296
(309) 794-8793
(309) 794-8709
Mailing address
639 38TH ST, ROCK ISLAND, IL 61201-2210
(309) 794-8793
(309) 794-8709
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096004587
IL
Other
Enumeration date
01/26/2024
Last updated
01/26/2024
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