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1780311084
ALAYSIA NICOLE CULBERTSON
QUINCY, IL
NPI
1780311084
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL 096.005509)
Enumeration Date
2022-08-05
Last Update Date
2022-08-05
Business Address
ALAYSIA NICOLE CULBERTSON ATC
1310 WASHINGTON ST UNIT 101
QUINCY, IL 62301-5230
Phone number: 937-789-2346
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Mailing Address
ALAYSIA NICOLE CULBERTSON ATC
1310 WASHINGTON ST UNIT 101
QUINCY, IL 62301-5230
Phone number: 937-789-2346
Copy
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