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1790194439
KATIE BOLF
BOLINGBROOK, IL
NPI
1790194439
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Former Name
KATIE MOORE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL 096003607)
Enumeration Date
2014-08-06
Last Update Date
2014-08-06
Business Address
-- KATIE BOLF ATC
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 855-692-8478
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Mailing Address
-- KATIE BOLF ATC
49 SPRINGDALE RD
MONTGOMERY, IL 60538-2447
Phone number: 815-252-5397
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