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1659822393
THOMAS A MALONE
CHARLESTON, IL
NPI
1659822393
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL 096004087)
Enumeration Date
2016-10-18
Last Update Date
2016-10-18
Business Address
-- THOMAS A MALONE ATC
600 LINCOLN AVE
CHARLESTON, IL 61920-3011
Phone number: 217-581-7677
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Mailing Address
-- THOMAS A MALONE ATC
600 LINCOLN AVE
CHARLESTON, IL 61920-3011
Phone number:
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