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1811311707
KATHLEEN BONAMER
CHICAGO, IL
NPI
1811311707
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL 096002567)
Enumeration Date
2014-02-12
Last Update Date
2014-02-12
Business Address
-- KATHLEEN BONAMER
1014 W BARRY AVE APT 1
CHICAGO, IL 60657-4310
Phone number: 708-408-5214
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Mailing Address
-- KATHLEEN BONAMER
1014 W BARRY AVE APT 1
CHICAGO, IL 60657-4310
Phone number: 708-408-5214
Copy
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