AUTUMN NICOLE TAYLOR

CHAMPAIGN, IL
NPI1346759586
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2017-09-20
Last Update Date2020-10-30
Business Address
AUTUMN NICOLE TAYLOR
1750 S 4TH ST
CHAMPAIGN, IL 61820-6948
Phone number: 443-883-0156
Mailing Address
AUTUMN NICOLE TAYLOR
719 W HARVARD ST
CHAMPAIGN, IL 61820-2804
Phone number: 443-883-0156