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1487701546
MATTIE M KAMINSKAS
BOLINGBROOK, IL
NPI
1487701546
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL 96002386)
Enumeration Date
2007-01-04
Last Update Date
2014-11-05
Business Address
Ms. MATTIE M KAMINSKAS ATC
365 RAIDER WAY
BOLINGBROOK, IL 60440-4893
Phone number: 773-428-0220
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Mailing Address
Ms. MATTIE M KAMINSKAS ATC
23908 MC MULLIN CIR
PLAINFIELD, IL 60586-2134
Phone number: 773-428-0220
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