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1588158588
COLE HEATH THORNTON
SPRINGFIELD, IL
NPI
1588158588
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL 096.003248)
Enumeration Date
2018-06-22
Last Update Date
2018-06-22
Business Address
COLE HEATH THORNTON ATC, PES
1960 STANHOPE RD
SPRINGFIELD, IL 62702-2072
Phone number: 217-416-1976
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Mailing Address
COLE HEATH THORNTON ATC, PES
1960 STANHOPE RD
SPRINGFIELD, IL 62702-2072
Phone number: 217-416-1976
Copy
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