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1457815193
COLLIN JAMES SHOOK
NORMAL, IL
NPI
1457815193
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2019-01-28
Last Update Date
2019-01-28
Business Address
COLLIN JAMES SHOOK
100 N UNIVERSITY ST
NORMAL, IL 61761-4402
Phone number: 309-438-2111
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Mailing Address
COLLIN JAMES SHOOK
2842 SHEPARD RD
NORMAL, IL 61761-6420
Phone number:
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