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1932505989
DANA BARENTS HARRELL
NORMAL, IL
NPI
1932505989
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL 096003796)
Enumeration Date
2014-11-18
Last Update Date
2014-11-18
Business Address
Miss DANA BARENTS HARRELL ATC, OPA-C
1715 BRADFORD LN #140
NORMAL, IL 61761-5283
Phone number: 309-275-3802
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Mailing Address
Miss DANA BARENTS HARRELL ATC, OPA-C
1715 BRADFORD LN #140
NORMAL, IL 61761-5283
Phone number:
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