TERRY LEE GEIRNAEIRT

JACKSONVILLE, IL
NPI1639131071
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096000577)
Enumeration Date2006-04-03
Last Update Date2007-07-08
Business Address
Mr. TERRY LEE GEIRNAEIRT ATC
1101 W COLLEGE AVE
JACKSONVILLE, IL 62650-2212
Phone number: 217-245-3397
Mailing Address
Mr. TERRY LEE GEIRNAEIRT ATC
1217 MAPLE ST
JACKSONVILLE, IL 62650-1104
Phone number: 217-245-3397
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