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1629046099
NICOLE RENEE PAUTZ
CHICAGO, IL
NPI
1629046099
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL 96-001228)
Enumeration Date
2006-03-10
Last Update Date
2008-11-18
Business Address
-- NICOLE RENEE PAUTZ ATC
3233 W ADDISON ST
CHICAGO, IL 60618-4328
Phone number: 773-478-0496
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Mailing Address
-- NICOLE RENEE PAUTZ ATC
3616 W WILSON AVE UNIT 1
CHICAGO, IL 60625-5822
Phone number: 773-267-0287
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