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1003351008
PATRICIA RICHARDSON
BOLINGBROOK, IL
NPI
1003351008
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MI 2601000783)
Enumeration Date
2016-12-29
Last Update Date
2016-12-29
Business Address
-- PATRICIA RICHARDSON ATC
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 630-296-2222
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Mailing Address
-- PATRICIA RICHARDSON ATC
8629 TAMARACK DR
BRIGHTON, MI 48116-5118
Phone number:
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