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1689789299
TANYA NADINE EIKSTADT
ROCKFORD, IL
NPI
1689789299
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date
2006-08-21
Last Update Date
2022-07-21
Business Address
MRS. TANYA NADINE EIKSTADT MS. ED, ATC
5510 E STATE ST
ROCKFORD, IL 61108-2381
Phone number: 815-395-4505
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Mailing Address
MRS. TANYA NADINE EIKSTADT MS. ED, ATC
1827 N CHURCH ST
ROCKFORD, IL 61103-4620
Phone number: 815-871-4859
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