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1487774212
JENNIFER LYNN STASKIEWICZ
CHARLESTON, IL
NPI
1487774212
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL 096.001817)
Enumeration Date
2007-03-29
Last Update Date
2007-07-08
Business Address
Mrs. JENNIFER LYNN STASKIEWICZ ATC
1 COPPERFIELD LN
CHARLESTON, IL 61920-3600
Phone number: 217-246-6429
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Mailing Address
Mrs. JENNIFER LYNN STASKIEWICZ ATC
1 COPPERFIELD LN
CHARLESTON, IL 61920-3600
Phone number:
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