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1770850141
STEVEN MICHAEL BAGUS
OAK LAWN, IL
NPI
1770850141
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL 096.002660)
Enumeration Date
2011-11-29
Last Update Date
2011-11-29
Business Address
Mr. STEVEN MICHAEL BAGUS ATC, NASM-PES
10312 LONG AVE
OAK LAWN, IL 60453-4643
Phone number: 708-528-0759
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Mailing Address
Mr. STEVEN MICHAEL BAGUS ATC, NASM-PES
10312 LONG AVE
OAK LAWN, IL 60453-4643
Phone number: 708-528-0759
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