BRIAN OURS

CHICAGO, IL
NPI1114121944
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096002327)
Enumeration Date2007-06-14
Last Update Date2007-07-08
Business Address
-- BRIAN OURS LAT
3233 W ADDISON ST
CHICAGO, IL 60618-4328
Phone number: 773-478-0496
Mailing Address
-- BRIAN OURS LAT
4128 N CAMPBELL AVE
CHICAGO, IL 60618-2806
Phone number:
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