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1235108507
AMY ELIZABETH LARSON
NAPERVILLE, IL
NPI
1235108507
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL 096001929)
Enumeration Date
2006-03-17
Last Update Date
2007-07-08
Business Address
Ms. AMY ELIZABETH LARSON ATC
30 N BRAINARD ST
NAPERVILLE, IL 60540-4607
Phone number: 630-637-5533
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Mailing Address
Ms. AMY ELIZABETH LARSON ATC
13301 W PINE GROVE CT
HOMER GLEN, IL 60491-8610
Phone number: 708-301-0309
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