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1326580333
ZACKARY CHARLES DAVIS
CHICAGO, IL
NPI
1326580333
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL 096004311)
Enumeration Date
2016-11-08
Last Update Date
2016-11-08
Business Address
Mr. ZACKARY CHARLES DAVIS ATC
6526 N. WINTHROP AVENUE
CHICAGO, IL 60626
Phone number: 773-508-2383
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Mailing Address
Mr. ZACKARY CHARLES DAVIS ATC
1137 OAK AVE
EVANSTON, IL 60202-1252
Phone number: 513-720-5140
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