JUSTIN M. STANEK

NORMAL, IL
NPI1710907910
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096.002073)
Enumeration Date2006-07-20
Last Update Date2007-07-08
Business Address
Mr. JUSTIN M. STANEK MS, ATC
5120 CAMPUS
NORMAL, IL 61790-5120
Phone number: 319-269-8422
Mailing Address
Mr. JUSTIN M. STANEK MS, ATC
713 W COLLEGE AVE
NORMAL, IL 61761-2455
Phone number:
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