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1013318658
MICHAEL WALKER
SYCAMORE, IL
NPI
1013318658
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL 096.003863)
Enumeration Date
2014-09-15
Last Update Date
2014-11-18
Business Address
-- MICHAEL WALKER ATC
913 PENNY LN
SYCAMORE, IL 60178-1250
Phone number: 219-218-2095
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Mailing Address
-- MICHAEL WALKER ATC
913 PENNY LN
SYCAMORE, IL 60178-1250
Phone number:
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