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1497111769
LAURA KATHLEEN ADDY
EVANSTON, IL
NPI
1497111769
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL 096004074)
Enumeration Date
2016-01-02
Last Update Date
2016-01-02
Business Address
Ms. LAURA KATHLEEN ADDY ATC
1501 CENTRAL ST
EVANSTON, IL 60208-0840
Phone number: 847-467-2406
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Mailing Address
Ms. LAURA KATHLEEN ADDY ATC
1246 W PRATT BLVD APT 1402
CHICAGO, IL 60626-4363
Phone number: 971-244-3898
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