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1114044948
HOLLY J ODEAN
OAK PARK, IL
NPI
1114044948
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL 96000796)
Enumeration Date
2007-03-25
Last Update Date
2007-07-08
Business Address
Ms. HOLLY J ODEAN A.T.,C.
1 ERIE CT STE 7120
OAK PARK, IL 60302-2510
Phone number: 708-848-4662
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Mailing Address
Ms. HOLLY J ODEAN A.T.,C.
4253 PRESCOTT AVE
LYONS, IL 60534-1530
Phone number: 708-447-4599
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