MARSHALL KIRK BASLER

LISLE, IL
NPI1649737958
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096004569)
Enumeration Date2019-02-22
Last Update Date2019-02-22
Business Address
MARSHALL KIRK BASLER ATC
5328 MAIN ST STE 122
LISLE, IL 60532-4185
Phone number: 630-324-8243
Mailing Address
MARSHALL KIRK BASLER ATC
136 JOANNE LN
ROCHELLE, IL 61068-1301
Phone number: 815-713-5981
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