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1255110490
LEWIS JAMES SECOR
PARK RIDGE, IL
NPI
1255110490
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2023-09-26
Last Update Date
2023-09-26
Business Address
LEWIS JAMES SECOR ATC
740 N DELPHIA AVE
PARK RIDGE, IL 60068-2516
Phone number: 224-361-6144
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Mailing Address
LEWIS JAMES SECOR ATC
740 N DELPHIA AVE
PARK RIDGE, IL 60068-2516
Phone number: 224-361-6144
Copy
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