HEATHER MICKELSEN

WHEATON, IL
NPI1265806335
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  M24233794734)
Enumeration Date2015-11-30
Last Update Date2015-11-30
Business Address
-- HEATHER MICKELSEN
918 COUNTRYSIDE DR
WHEATON, IL 60187-3253
Phone number: 630-346-8056
Mailing Address
-- HEATHER MICKELSEN
918 COUNTRYSIDE DR
WHEATON, IL 60187-3253
Phone number:
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