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1902482730
KARLA MARIE HALDE
BELLEVILLE, IL
NPI
1902482730
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: IL 096.004582)
Enumeration Date
2021-03-22
Last Update Date
2021-03-22
Business Address
KARLA MARIE HALDE ATC, LAT
4500 MEMORIAL DR
BELLEVILLE, IL 62226-5399
Phone number: 618-233-7750
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Mailing Address
KARLA MARIE HALDE ATC, LAT
6908 LOYET RD
COLLINSVILLE, IL 62234-6520
Phone number: 618-974-8489
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