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1932507779
KEVIN MOEHN
CHAMPAIGN, IL
NPI
1932507779
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2014-12-10
Last Update Date
2014-12-10
Business Address
-- KEVIN MOEHN
622 W CLARK ST APT 3
CHAMPAIGN, IL 61820-4665
Phone number: 319-750-4134
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Mailing Address
-- KEVIN MOEHN
622 W CLARK ST APT 3
CHAMPAIGN, IL 61820-4665
Phone number: 319-750-4134
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