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1083609903
KRISTEN M STREETER
CHAMPAIGN, IL
NPI
1083609903
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL 096-001120)
Enumeration Date
2005-09-16
Last Update Date
2014-07-23
Business Address
-- KRISTEN M STREETER ATC
2040 S NEIL ST
CHAMPAIGN, IL 61820-7220
Phone number: 217-352-3330
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Mailing Address
-- KRISTEN M STREETER ATC
2040 S NEIL ST
CHAMPAIGN, IL 61820-7220
Phone number: 217-352-3330
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