SHANE GREGORY HUDSON

JACKSONVILLE, IL
NPI1356856181
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096.005137)
Enumeration Date2017-12-01
Last Update Date2021-08-06
Business Address
SHANE GREGORY HUDSON
25 BOOK LN
JACKSONVILLE, IL 62650-2753
Phone number: 217-271-7337
Mailing Address
SHANE GREGORY HUDSON
25 BOOK LN
JACKSONVILLE, IL 62650-2753
Phone number:
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