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1124724661
LAUREN RAE FOLLIS
NORMAL, IL
NPI
1124724661
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL 096.005344)
Enumeration Date
2023-02-06
Last Update Date
2023-02-06
Business Address
LAUREN RAE FOLLIS LAT, ATC
100 N UNIVERSITY ST
NORMAL, IL 61761-4402
Phone number: 309-438-8661
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Mailing Address
LAUREN RAE FOLLIS LAT, ATC
107 N ORR DR APT E
NORMAL, IL 61761-1975
Phone number: 309-231-3765
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