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1306369715
JESSICA SOFIE LIUTKUS
SAN DIEGO, CA
NPI
1306369715
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2017-07-18
Last Update Date
2017-07-18
Business Address
JESSICA SOFIE LIUTKUS ATC
13010 PASEO LUCIDO
SAN DIEGO, CA 92128-4478
Phone number: 858-485-4800
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Mailing Address
JESSICA SOFIE LIUTKUS ATC
16543 S CATAWBA RD
HOMER GLEN, IL 60491-9633
Phone number: 773-865-6343
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