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1356817845
ROBERT ANTHONY SMITH
CHICAGO, IL
NPI
1356817845
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL 096004083)
Enumeration Date
2018-10-23
Last Update Date
2018-10-23
Business Address
ROBERT ANTHONY SMITH MLD, LAT, ATC
5530 S ELLIS AVE
CHICAGO, IL 60637-1402
Phone number: 773-702-3882
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Mailing Address
ROBERT ANTHONY SMITH MLD, LAT, ATC
5530 S ELLIS AVE
CHICAGO, IL 60637-1402
Phone number: 773-702-3882
Copy
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