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1215990189
MARCUS OHNEMUS
PEORIA, IL
NPI
1215990189
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL 096001767)
Enumeration Date
2006-04-10
Last Update Date
2007-07-08
Business Address
-- MARCUS OHNEMUS A.T.C.
1501 W BRADLEY AVE
PEORIA, IL 61625-0001
Phone number: 309-677-3072
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Mailing Address
-- MARCUS OHNEMUS A.T.C.
811 E GLEN AVE
PEORIA HEIGHTS, IL 61616-5205
Phone number: 309-256-3185
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