JOSEPH ALEXANDER SMITH

DECATUR, IL
NPI1760898076
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096003602)
Enumeration Date2014-07-08
Last Update Date2014-07-08
Business Address
-- JOSEPH ALEXANDER SMITH ATC
2122 N 27TH ST
DECATUR, IL 62526-2191
Phone number: 217-876-4976
Mailing Address
-- JOSEPH ALEXANDER SMITH ATC
2122 N 27TH ST
DECATUR, IL 62526-2191
Phone number: 217-876-4976
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