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1801291216
AMANDA KATHLEEN BAGUS
CHICAGO, IL
NPI
1801291216
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL 096002790)
Enumeration Date
2014-10-28
Last Update Date
2014-10-28
Business Address
-- AMANDA KATHLEEN BAGUS ATC
680 N LAKE SHORE DR SUITE 924
CHICAGO, IL 60611-4546
Phone number: 312-664-6848
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Mailing Address
-- AMANDA KATHLEEN BAGUS ATC
832 N WASHTENAW AVE UNIT 2
CHICAGO, IL 60622-4429
Phone number: 630-346-1742
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