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1083862841
MATTHEW SCOTT REPA
GLENVIEW, IL
NPI
1083862841
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: IL 096.002602)
Enumeration Date
2008-09-05
Last Update Date
2008-09-05
Business Address
MR. MATTHEW SCOTT REPA ATC
2401 RAVINE WAY SUITE 100
GLENVIEW, IL 60025-7645
Phone number: 847-724-4791
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Mailing Address
MR. MATTHEW SCOTT REPA ATC
9326 KEDVALE AVE
SKOKIE, IL 60076-1421
Phone number: 847-269-9326
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