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1114640539
JENNA GOSSELIN
CHICAGO, IL
NPI
1114640539
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL 096005404)
Enumeration Date
2022-09-21
Last Update Date
2022-09-21
Business Address
JENNA GOSSELIN LAT, ATC
3225 W FOSTER AVE
CHICAGO, IL 60625-4823
Phone number: 603-657-5329
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Mailing Address
JENNA GOSSELIN LAT, ATC
4157 N CLARENDON AVE APT 807
CHICAGO, IL 60613-5202
Phone number: 603-657-5329
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