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1144777251
JASON DEPUE
CHICAGO, IL
NPI
1144777251
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL 096.003672)
Enumeration Date
2016-09-07
Last Update Date
2016-09-07
Business Address
-- JASON DEPUE ATC
5700 S HOMAN AVE
CHICAGO, IL 60629-3114
Phone number: 773-443-4138
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Mailing Address
-- JASON DEPUE ATC
5700 S HOMAN AVE
CHICAGO, IL 60629-3114
Phone number:
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