KEITH ALLEN VANSOELEN

HINSDALE, IL
NPI1528213030
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL  Al 1258)
Enumeration Date2008-11-25
Last Update Date2011-10-14
Business Address
-- KEITH ALLEN VANSOELEN ATC
55TH AND GRANT STREETS
HINSDALE, IL 60521
Phone number: 630-570-8240
Mailing Address
-- KEITH ALLEN VANSOELEN ATC
577 GRAND PARKE DR
JACKSONVILLE, FL 32259-5258
Phone number: 904-287-8179
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