MISS Grace Elaine Edwards

NPI #1235526716 in Byron, Illinois

Provider Information

NPI Number
1235526716
Entity Type
Individual
Name
MISS Grace Elaine Edwards
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Enumeration Date
Apr 22, 2015
Last Updated
Apr 22, 2015

Practice Location

Address
1125 OLD HUNTER RUN
City
Byron
ZIP Code
61010-1494
Phone
(815) 218-3979

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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