RANDALL LEE WRIGHT

BELVIDERE, IL
NPI1679606131
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096.000354)
Enumeration Date2007-03-13
Last Update Date2007-07-08
Business Address
Mr. RANDALL LEE WRIGHT LAT,ATC
3000 CHRYSLER DR
BELVIDERE, IL 61008-6006
Phone number: 815-547-2440
Mailing Address
Mr. RANDALL LEE WRIGHT LAT,ATC
10009 SARA DR
ROSCOE, IL 61073-8598
Phone number: 815-623-9024