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1225287618
STEVEN M KOCH
MACOMB, IL
NPI
1225287618
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL 096002463)
Enumeration Date
2008-09-10
Last Update Date
2008-09-10
Business Address
Mr. STEVEN M KOCH ATC
1 UNIVERSITY CIR
MACOMB, IL 61455-1367
Phone number: 309-298-2340
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Mailing Address
Mr. STEVEN M KOCH ATC
553 RIVER RUN DR
MACOMB, IL 61455-1173
Phone number: 309-333-2860
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