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1790153120
TAMARA SAGADORE
NORMAL, IL
NPI
1790153120
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL 096003724)
Enumeration Date
2015-09-02
Last Update Date
2015-09-02
Business Address
-- TAMARA SAGADORE ATC
180 N ADELAIDE ST
NORMAL, IL 61761-2404
Phone number: 309-438-3340
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Mailing Address
-- TAMARA SAGADORE ATC
19 TRADERS CIR APT 368A
NORMAL, IL 61761-4149
Phone number: 309-532-0103
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