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1114945185
TODD A MCLODA
NORMAL, IL
NPI
1114945185
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL 096-001441)
Enumeration Date
2006-07-18
Last Update Date
2007-07-08
Business Address
-- TODD A MCLODA PhD, ATC
208 HORTON
NORMAL, IL 61790-5120
Phone number: 309-438-2605
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Mailing Address
-- TODD A MCLODA PhD, ATC
1603 SANDERSON CT
NORMAL, IL 61761-4267
Phone number: 309-268-9100
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