AUDREY JO HANSEN

NORMAL, IL
NPI1154381952
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  09600175)
Enumeration Date2006-03-24
Last Update Date2007-07-08
Business Address
-- AUDREY JO HANSEN ATC
205 HORTON
NORMAL, IL 61790-5120
Phone number: 309-438-5366
Mailing Address
-- AUDREY JO HANSEN ATC
205 HORTON
NORMAL, IL 61790-5120
Phone number: 309-438-5366
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