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1407987944
MICHELLE VAZQUEZ
LOCKPORT, IL
NPI
1407987944
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date
2007-03-08
Last Update Date
2007-07-08
Business Address
MICHELLE VAZQUEZ ATC
1222 S JEFFERSON ST
LOCKPORT, IL 60441-3541
Phone number: 815-588-8644
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Mailing Address
MICHELLE VAZQUEZ ATC
19741 S GLASGOW DR
FRANKFORT, IL 60423-8807
Phone number: 815-409-2752
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