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1407572258
JUSTIN MICHAEL PIERZCHALA
BOLINGBROOK, IL
NPI
1407572258
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MI 2601002077)
Enumeration Date
2022-10-13
Last Update Date
2022-10-13
Business Address
JUSTIN MICHAEL PIERZCHALA LAT, ATC
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 630-296-2223
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Mailing Address
JUSTIN MICHAEL PIERZCHALA LAT, ATC
6159 VIEWPOINT DR NE
BELMONT, MI 49306-9484
Phone number: 316-644-6865
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