JAY PATRICK ANDERSON

ELGIN, IL
NPI1306828645
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: IL  96000601)
Enumeration Date2005-11-14
Last Update Date2007-07-08
Business Address
MR. JAY PATRICK ANDERSON ATC
1151 N STATE ST
ELGIN, IL 60123-1404
Phone number: 847-628-1592
Mailing Address
MR. JAY PATRICK ANDERSON ATC
357 CORRINE AVE
CRYSTAL LAKE, IL 60014-5161
Phone number: 815-356-0456
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