JOSHUA SHRIDE

CHAMPAIGN, IL
NPI1245809870
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096003855)
Enumeration Date2021-06-18
Last Update Date2021-06-18
Business Address
JOSHUA SHRIDE ATC
2300 S 1ST ST
CHAMPAIGN, IL 61820-7661
Phone number: 217-383-9400
Mailing Address
JOSHUA SHRIDE ATC
2300 S 1ST ST
CHAMPAIGN, IL 61820-7661
Phone number: 217-383-9400
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