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1669601852
MARK ROBERT ROBINSON
ROCKFORD, IL
NPI
1669601852
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL 096.002786)
Enumeration Date
2009-07-08
Last Update Date
2009-07-08
Business Address
Mr. MARK ROBERT ROBINSON ATC, CSCS
324 ROXBURY RD
ROCKFORD, IL 61107-5090
Phone number: 815-398-9491
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Mailing Address
Mr. MARK ROBERT ROBINSON ATC, CSCS
2722 BROADMOOR DR
ROCKFORD, IL 61108-1620
Phone number: 815-757-0405
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