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1568440154
TRACI KAY HEADLEY
PALOS HEIGHTS, IL
NPI
1568440154
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL 096-000554)
Enumeration Date
2006-01-04
Last Update Date
2007-07-08
Business Address
Mrs. TRACI KAY HEADLEY ATC
12400 S HARLEM AVE
PALOS HEIGHTS, IL 60463-1440
Phone number: 708-671-0771
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Mailing Address
Mrs. TRACI KAY HEADLEY ATC
635 W FAY AVE
ELMHURST, IL 60126-2123
Phone number: 630-516-0967
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