MICHAEL JAMES GUDDENDORF

DECATUR, IL
NPI1821619768
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096004843)
Enumeration Date2020-05-01
Last Update Date2020-05-01
Business Address
Mr. MICHAEL JAMES GUDDENDORF ATC
2122 N 27TH ST
DECATUR, IL 62526-2191
Phone number: 217-876-4249
Mailing Address
Mr. MICHAEL JAMES GUDDENDORF ATC
1276 OAKLEAF CT
AURORA, IL 60506-1676
Phone number:
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