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1376511949
JENNIFER M PLOS
MACOMB, IL
NPI
1376511949
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL 096001425)
Enumeration Date
2006-03-09
Last Update Date
2019-12-31
Business Address
JENNIFER M PLOS ATC
1 UNIVERSITY CIR
MACOMB, IL 61455-1367
Phone number: 309-298-1506
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Mailing Address
JENNIFER M PLOS ATC
30 SHOREWOOD DR
MACOMB, IL 61455-9746
Phone number: 309-836-5769
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