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1144590712
MICAH JOSEPH HOLLAND
CHICAGO, IL
NPI
1144590712
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL 096002501)
Enumeration Date
2012-01-12
Last Update Date
2012-01-12
Business Address
Mr. MICAH JOSEPH HOLLAND MS, ATC, PES, CES
205 W WACKER DR SUITE 1020
CHICAGO, IL 60606-1216
Phone number: 312-640-0329
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Mailing Address
Mr. MICAH JOSEPH HOLLAND MS, ATC, PES, CES
602 E SOPER ST
WINNEBAGO, IL 61088-9770
Phone number: 815-222-1339
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