DOUGLAS A WEST

BLOOMINGTON, IL
NPI1821396722
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096003032)
Enumeration Date2011-03-02
Last Update Date2011-03-02
Business Address
Mr. DOUGLAS A WEST ATC
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704-2101
Phone number: 309-664-3038
Mailing Address
Mr. DOUGLAS A WEST ATC
1205 N LIVINGSTON ST
BLOOMINGTON, IL 61701-1534
Phone number: 309-838-3640
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