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1104243385
NATHAN DAVID SCHWARTZKOPF
CHARLESTON, IL
NPI
1104243385
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL 096002985)
Enumeration Date
2014-03-25
Last Update Date
2014-03-25
Business Address
-- NATHAN DAVID SCHWARTZKOPF ATC
1340 A STREET
CHARLESTON, IL 61920
Phone number: 217-556-4236
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Mailing Address
-- NATHAN DAVID SCHWARTZKOPF ATC
1340 A STREET
CHARLESTON, IL 61920
Phone number: 217-556-4236
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