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1700310026
SETH VILAS
BELLEVILLE, IL
NPI
1700310026
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: IL 096004380)
Enumeration Date
2017-04-13
Last Update Date
2017-04-13
Business Address
MR. SETH VILAS AT
2600 W MAIN ST
BELLEVILLE, IL 62226-6651
Phone number: 618-239-6109
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Mailing Address
MR. SETH VILAS AT
2600 W MAIN ST
BELLEVILLE, IL 62226-6651
Phone number:
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