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1205181906
PETER MARTIN STOLL
SPRINGFIELD, IL
NPI
1205181906
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL 096.000201)
Enumeration Date
2012-07-18
Last Update Date
2012-07-18
Business Address
Mr. PETER MARTIN STOLL LAT, EMT-B
3631 S 6TH ST SUITE B
SPRINGFIELD, IL 62703-4777
Phone number: 217-744-7529
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Mailing Address
Mr. PETER MARTIN STOLL LAT, EMT-B
3631 S 6TH ST SUITE B
SPRINGFIELD, IL 62703-4777
Phone number: 217-744-7529
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