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1235570268
KATHLEEN BUCKINGHAM
DECATUR, IL
NPI
1235570268
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL 096.003271)
Enumeration Date
2013-07-06
Last Update Date
2013-07-06
Business Address
-- KATHLEEN BUCKINGHAM ATC
1800 E LAKE SHORE DR
DECATUR, IL 62521-3810
Phone number: 217-464-5970
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Mailing Address
-- KATHLEEN BUCKINGHAM ATC
1800 E LAKE SHORE DR
DECATUR, IL 62521-3810
Phone number:
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