JASON DEPUE

CHICAGO, IL
NPI1144777251
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096.003672)
Enumeration Date2016-09-07
Last Update Date2016-09-07
Business Address
-- JASON DEPUE ATC
5700 S HOMAN AVE
CHICAGO, IL 60629-3114
Phone number: 773-443-4138
Mailing Address
-- JASON DEPUE ATC
5700 S HOMAN AVE
CHICAGO, IL 60629-3114
Phone number:
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