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1437556222
KEVIN WACHOWIAK
CAROL STREAM, IL
NPI
1437556222
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL 096.003657)
Enumeration Date
2014-11-23
Last Update Date
2014-11-23
Business Address
Mr. KEVIN WACHOWIAK LAT/ATC
390 N SILVERLEAF BLVD
CAROL STREAM, IL 60188-1602
Phone number: 630-877-2419
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Mailing Address
Mr. KEVIN WACHOWIAK LAT/ATC
390 N SILVERLEAF BLVD
CAROL STREAM, IL 60188-1602
Phone number: 630-877-2419
Copy
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