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1043346372
JOHN E MASSIE
CARBONDALE, IL
NPI
1043346372
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL 096000239)
Enumeration Date
2007-02-23
Last Update Date
2007-07-08
Business Address
-- JOHN E MASSIE ATC, LAT
374 E. GRAND AVE. SIUC STUDENT HEALTH CENTER
CARBONDALE, IL 62901
Phone number: 618-453-1292
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Mailing Address
-- JOHN E MASSIE ATC, LAT
374 E. GRAND AVE. SIUC STUDENT HEALTH CENTER
CARBONDALE, IL 62901
Phone number:
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