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1053902478
EMMA LEDBETTER
NORMAL, IL
NPI
1053902478
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2021-01-28
Last Update Date
2021-01-28
Business Address
EMMA LEDBETTER
100 N UNIVERSITY ST
NORMAL, IL 61761-4402
Phone number: 574-309-0778
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Mailing Address
EMMA LEDBETTER
509 GRANT ST
NORMAL, IL 61761-1510
Phone number: 574-309-0778
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