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1386610772
MINDY E BINGAMON
DECATUR, IL
NPI
1386610772
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL 096.002225)
Enumeration Date
2006-02-24
Last Update Date
2007-07-08
Business Address
Ms. MINDY E BINGAMON MS, ATC
2425 COUNTRY TRL #47
DECATUR, IL 62526-3959
Phone number: 217-620-3994
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Mailing Address
Ms. MINDY E BINGAMON MS, ATC
2425 COUNTRY TRL #47
DECATUR, IL 62526-3959
Phone number: 217-620-3994
Copy
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