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1154062875
KATIE ELIZABETH PARKS
QUINCY, IL
NPI
1154062875
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: IL 096.005359)
Enumeration Date
2022-04-05
Last Update Date
2022-04-05
Business Address
KATIE ELIZABETH PARKS LAT, ATC
1800 COLLEGE AVE
QUINCY, IL 62301-2670
Phone number: 316-619-8854
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Mailing Address
KATIE ELIZABETH PARKS LAT, ATC
1310 WASHINGTON ST UNIT 101
QUINCY, IL 62301-5230
Phone number: 316-619-8854
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