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1831163773
SHELBY BERNARD
SYCAMORE, IL
NPI
1831163773
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL 096002134)
Enumeration Date
2006-02-16
Last Update Date
2010-03-03
Business Address
-- SHELBY BERNARD ATC
1453 RIDGE DR
SYCAMORE, IL 60178-2671
Phone number: 815-761-8182
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Mailing Address
-- SHELBY BERNARD ATC
1453 RIDGE DR
SYCAMORE, IL 60178-2671
Phone number: 815-761-8182
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