BRIDGET M AVERY

SANDWICH, IL
NPI1215026810
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096.001070)
Enumeration Date2006-10-12
Last Update Date2007-07-08
Business Address
-- BRIDGET M AVERY ATC
1963 JOYCE CT
SANDWICH, IL 60548-9203
Phone number: 815-498-4641
Mailing Address
-- BRIDGET M AVERY ATC
1963 JOYCE CT
SANDWICH, IL 60548-9203
Phone number:
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