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1699317081
MICHAEL MCPEAK
SPRINGFIELD, IL
NPI
1699317081
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL 096.005058)
Enumeration Date
2019-10-17
Last Update Date
2019-10-17
Business Address
MICHAEL MCPEAK ATC
1836 S MACARTHUR BLVD
SPRINGFIELD, IL 62704-4030
Phone number: 217-546-0512
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Mailing Address
MICHAEL MCPEAK ATC
3510 FERRIS DR
DECATUR, IL 62521-9164
Phone number:
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