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1932608189
KATHRYN HAYNES
CHAMPAIGN, IL
NPI
1932608189
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL 096.004230)
Enumeration Date
2018-02-02
Last Update Date
2018-02-02
Business Address
Miss KATHRYN HAYNES ATC
1402 S 1ST ST
CHAMPAIGN, IL 61820-6916
Phone number: 217-333-6718
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Mailing Address
Miss KATHRYN HAYNES ATC
100 VILLAGE PARK WAY APT 205
SAVOY, IL 61874-7441
Phone number: 513-218-7336
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