GINGER CANDICE SOUTH

CHARLESTON, IL
NPI1952529307
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2007-04-23
Last Update Date2007-07-08
Business Address
-- GINGER CANDICE SOUTH ATC
600 LINCOLN AVE
CHARLESTON, IL 61920-3011
Phone number: 270-303-2865
Mailing Address
-- GINGER CANDICE SOUTH ATC
1401 DAVIS ST
CHARLESTON, IL 61920-2450
Phone number: 270-303-2865
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