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1194399352
CHARLES T MARSHALL
EAST LANSING, MI
NPI
1194399352
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2021-05-13
Last Update Date
2021-05-13
Business Address
CHARLES T MARSHALL
308 W CIRCLE DR
EAST LANSING, MI 48824-3700
Phone number: 309-825-5070
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Mailing Address
CHARLES T MARSHALL
11 STRAWBERRY RD
BLOOMINGTON, IL 61704-2833
Phone number: 309-825-5070
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