PATRICK LARRY

DECATUR, IL
NPI1205822863
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096-001007)
Enumeration Date2005-09-20
Last Update Date2007-07-08
Business Address
Mr. PATRICK LARRY ATC
1613 BURNING TREE DR
DECATUR, IL 62521-9151
Phone number: 217-865-2637
Mailing Address
Mr. PATRICK LARRY ATC
1613 BURNING TREE DR
DECATUR, IL 62521-9151
Phone number:
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