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1972562510
KATHY M PLINE
NORMAL, IL
NPI
1972562510
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL 096-000325)
Enumeration Date
2006-03-22
Last Update Date
2007-07-08
Business Address
Ms. KATHY M PLINE ATC/L
1302 FRANKLIN AVE
NORMAL, IL 61761-3551
Phone number: 309-268-2491
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Mailing Address
Ms. KATHY M PLINE ATC/L
203 N GROVE ST
NORMAL, IL 61761-2470
Phone number: 309-830-1714
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