KELLY JAY MCBRIDE

MACOMB, IL
NPI1467412452
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096-001798)
Enumeration Date2006-03-24
Last Update Date2007-07-08
Business Address
Mr. KELLY JAY MCBRIDE ATC/L
709 W. ADAMS ST. #4
MACOMB, IL 61455-1367
Phone number: 217-473-8362
Mailing Address
Mr. KELLY JAY MCBRIDE ATC/L
709 W. ADAMS ST. #4
MACOMB, IL 61455-1367
Phone number: 217-473-8362
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