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1144784620
JENAL ORTIZ
CHICAGO, IL
NPI
1144784620
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2019-01-29
Last Update Date
2019-01-29
Business Address
JENAL ORTIZ
2816 N KOSTNER AVE
CHICAGO, IL 60641-5345
Phone number: 773-474-3525
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Mailing Address
JENAL ORTIZ
609 S FELL AVE APT 1
NORMAL, IL 61761-3685
Phone number:
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