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1154886521
MORGAN ELIZABETH DEPLANTY
NORMAL, IL
NPI
1154886521
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL 096004499)
Enumeration Date
2019-02-09
Last Update Date
2019-02-09
Business Address
MORGAN ELIZABETH DEPLANTY ATC, LAT
215 N MAIN ST
NORMAL, IL 61761
Phone number: 309-438-8671
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Mailing Address
MORGAN ELIZABETH DEPLANTY ATC, LAT
1170 E 625 N
MARSHALL, IN 47859-8885
Phone number: 765-592-2889
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