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1588357982
MITCHELL KENNEDY
SYCAMORE, IL
NPI
1588357982
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: IL 096004291)
Enumeration Date
2023-05-31
Last Update Date
2023-05-31
Business Address
MITCHELL KENNEDY ATC
2111 MIDLANDS CT
SYCAMORE, IL 60178-3125
Phone number: 815-758-0000
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Mailing Address
MITCHELL KENNEDY ATC
1480 CAMBRIA DR UNIT 4
DEKALB, IL 60115-1083
Phone number: 815-901-2422
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