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1285414144
JEFFREY K TANAKA
EVANSTON, IL
NPI
1285414144
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: IL 002783)
Enumeration Date
2023-09-28
Last Update Date
2023-09-28
Business Address
JEFFREY K TANAKA
2255 CAMPUS DRIVE
EVANSTON, IL 60208-0001
Phone number: 847-491-8863
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Mailing Address
JEFFREY K TANAKA
2255 CAMPUS DRIVE
EVANSTON, IL 60208-0001
Phone number: 847-491-8863
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