RICHARD JEAN

CHAMPAIGN, IL
NPI1043227614
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096-000262)
Enumeration Date2006-08-03
Last Update Date2008-09-26
Business Address
Mr. RICHARD JEAN A.T.C.
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820-3909
Phone number: 217-366-1327
Mailing Address
Mr. RICHARD JEAN A.T.C.
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820-3909
Phone number: 217-366-1327
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