LAUREN CHARLES LONG

QUINCY, IL
NPI1760960850
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096.003963)
Enumeration Date2018-08-01
Last Update Date2018-08-01
Business Address
LAUREN CHARLES LONG MSE, ATC, LAT
1025 MAINE ST
QUINCY, IL 62301
Phone number: 217-222-6550
Mailing Address
LAUREN CHARLES LONG MSE, ATC, LAT
5751 CURRAN RD
NEW BERLIN, IL 62670-6772
Phone number: 217-899-2368
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