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1720618911
ISABELLA RAE KOENIG
LISLE, IL
NPI
1720618911
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2020-01-16
Last Update Date
2020-01-16
Business Address
ISABELLA RAE KOENIG ATC
5700 COLLEGE RD
LISLE, IL 60532-2851
Phone number: 630-829-6154
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Mailing Address
ISABELLA RAE KOENIG ATC
5328 MAIN ST STE 122
LISLE, IL 60532-4185
Phone number:
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