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1306806401
DEBRA KAY FITZL
CARBONDALE, IL
NPI
1306806401
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL 096-002175)
Enumeration Date
2006-03-24
Last Update Date
2012-11-30
Business Address
Ms. DEBRA KAY FITZL ATC, LAT
LINGLE HALL 33
CARBONDALE, IL 62901
Phone number: 618-453-5482
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Mailing Address
Ms. DEBRA KAY FITZL ATC, LAT
1207 S WALL ST
CARBONDALE, IL 62901-3748
Phone number: 618-924-6211
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