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1396110128
CHRISTIAN JAMES AHLSTROM
WILMETTE, IL
NPI
1396110128
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MA 2799)
Enumeration Date
2015-12-04
Last Update Date
2015-12-04
Business Address
Mr. CHRISTIAN JAMES AHLSTROM MAT, LAT, ATC
3021 IROQUOIS RD
WILMETTE, IL 60091-1106
Phone number: 847-431-3519
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Mailing Address
Mr. CHRISTIAN JAMES AHLSTROM MAT, LAT, ATC
3021 IROQUOIS RD
WILMETTE, IL 60091-1106
Phone number: 847-431-3519
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