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1063114171
ISABELLE CARMEN SOTO
CHICAGO, IL
NPI
1063114171
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL 096005585)
Enumeration Date
2023-03-21
Last Update Date
2023-03-21
Business Address
ISABELLE CARMEN SOTO LAT, ATC
1034 N WELLS ST
CHICAGO, IL 60610-2513
Phone number: 312-813-3448
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Mailing Address
ISABELLE CARMEN SOTO LAT, ATC
5412 N NASHVILLE AVE
CHICAGO, IL 60656-2209
Phone number: 312-813-3448
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