JOHN RICHARD STORSVED

DECATUR, IL
NPI1356313225
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096-000920)
Enumeration Date2006-02-06
Last Update Date2019-06-21
Business Address
JOHN RICHARD STORSVED H.S.D. ATC
1184 W MAIN ST
DECATUR, IL 62522-2084
Phone number: 217-424-6364
Mailing Address
JOHN RICHARD STORSVED H.S.D. ATC
2608 S NOTTINGHAM CT
CHAMPAIGN, IL 61821-7015
Phone number: 176-218-7972
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