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1497984629
CRISTEN L CARLSON
CHICAGO, IL
NPI
1497984629
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2251S0007X Physical Therapist, Sports
(Licence: IL 096002012)
Enumeration Date
2009-07-09
Last Update Date
2009-07-09
Business Address
-- CRISTEN L CARLSON ATC
6560 W FULLERTON AVE
CHICAGO, IL 60707-3439
Phone number: 773-745-0338
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Mailing Address
-- CRISTEN L CARLSON ATC
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 630-296-2223
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