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1912263815
KELLY HALEY
NORMAL, IL
NPI
1912263815
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL 096.002482)
Enumeration Date
2012-04-04
Last Update Date
2012-04-04
Business Address
-- KELLY HALEY ATC
7130 HORTON FIELDHOUSE
NORMAL, IL 61790
Phone number: 309-438-7246
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Mailing Address
-- KELLY HALEY ATC
1534 HUNT DR APT A
NORMAL, IL 61761-6117
Phone number: 407-506-8376
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