ANTONY FRIERDICH

BELLEVILLE, IL
NPI1962871558
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: IL  096003858)
Enumeration Date2015-09-24
Last Update Date2015-09-24
Business Address
ANTONY FRIERDICH
22 SOUTH 13TH STREET
BELLEVILLE, IL 62220
Phone number: 618-541-9751
Mailing Address
ANTONY FRIERDICH
22 S 13TH ST
BELLEVILLE, IL 62220-1834
Phone number: 618-541-9751
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