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1154032274
KELSEY R WEDWICK
CRYSTAL LAKE, IL
NPI
1154032274
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL 096004094)
Enumeration Date
2022-12-09
Last Update Date
2022-12-09
Business Address
KELSEY R WEDWICK ATC
420 N ILLINOIS RTE 31
CRYSTAL LAKE, IL 60012
Phone number: 815-656-5600
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Mailing Address
KELSEY R WEDWICK ATC
400 BUCKINGHAM DR
CRYSTAL LAKE, IL 60014-7666
Phone number: 815-601-3816
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