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1659331379
PAUL D SCHMIDT
CHAMPAIGN, IL
NPI
1659331379
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL 096.002426)
Enumeration Date
2006-03-25
Last Update Date
2014-09-29
Business Address
Mr. PAUL D SCHMIDT ATC
1402 SOUTH FIRST STREET MEMORIAL STADIUM
CHAMPAIGN, IL 61820
Phone number: 217-265-8060
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Mailing Address
Mr. PAUL D SCHMIDT ATC
705 KREBS DR
CHAMPAIGN, IL 61822-1102
Phone number: 248-302-0514
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