RUSSELL CHARLES MORGAN

ROCKFORD, IL
NPI1023087186
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date2006-03-14
Last Update Date2007-07-08
Business Address
RUSSELL CHARLES MORGAN ATC/L
5510 E STATE ST
ROCKFORD, IL 61108-2381
Phone number: 815-395-4505
Mailing Address
RUSSELL CHARLES MORGAN ATC/L
6405 1ST ST
LOVES PARK, IL 61111-4103
Phone number: 815-633-2348
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