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1649640996
ETHAN ROSS
ELMHURST, IL
NPI
1649640996
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: IL 096.003466)
Enumeration Date
2015-09-30
Last Update Date
2015-09-30
Business Address
ETHAN ROSS
966 S FERN AVE
ELMHURST, IL 60126-5307
Phone number: 630-805-1854
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Mailing Address
ETHAN ROSS
966 S FERN AVE
ELMHURST, IL 60126-5307
Phone number: 630-805-1854
Copy
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