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1265884399
KAITLIN KOCHER
BELLEVILLE, IL
NPI
1265884399
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL 096.003960)
Enumeration Date
2016-07-13
Last Update Date
2016-07-13
Business Address
-- KAITLIN KOCHER LAT, ATC
2600 W MAIN ST
BELLEVILLE, IL 62226-6651
Phone number: 618-239-6109
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Mailing Address
-- KAITLIN KOCHER LAT, ATC
2756 E MOUNT GILEAD LN
OLNEY, IL 62450-3807
Phone number:
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