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1467411892
PAUL JAMES KULICK
ROCKFORD, IL
NPI
1467411892
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL 096000542)
Enumeration Date
2006-03-23
Last Update Date
2007-07-08
Business Address
Mr. PAUL JAMES KULICK ATC
1340 CHARLES ST STE 100
ROCKFORD, IL 61104
Phone number: 815-399-1975
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Mailing Address
Mr. PAUL JAMES KULICK ATC
5282 CONGVALLEY DR
ROCKFORD, IL 61109
Phone number: 815-399-1975
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