KELLY JO CARLSON

WARRENVILLE, IL
NPI1952432288
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096001732)
Enumeration Date2007-03-08
Last Update Date2007-07-08
Business Address
-- KELLY JO CARLSON ATC
27650 FERRY RD
WARRENVILLE, IL 60555-3845
Phone number: 630-225-2466
Mailing Address
-- KELLY JO CARLSON ATC
26W255 BOX ELDER AVE
WHEATON, IL 60187-2906
Phone number: 630-225-2466
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