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Individual

CORRINA M GUTHRIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA, ATC

Contact information

Practice address
4500 MEMORIAL DR, BELLEVILLE, IL 62226-5360
(618) 257-5250
Mailing address
4500 MEMORIAL DR, BELLEVILLE, IL 62226-5360

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
WA

Other

Enumeration date
04/09/2009
Last updated
09/22/2016
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