KRIS ALAN SCHWIDERSKI

JACKSONVILLE, IL
NPI1902874092
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096-000372)
Enumeration Date2006-03-14
Last Update Date2007-07-08
Business Address
-- KRIS ALAN SCHWIDERSKI A.T.,C.
1600 W WALNUT ST
JACKSONVILLE, IL 62650-1136
Phone number: 217-245-9541
Mailing Address
-- KRIS ALAN SCHWIDERSKI A.T.,C.
1600 W WALNUT ST
JACKSONVILLE, IL 62650-1136
Phone number: 217-245-9541
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