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1912399791
KATIE LYNN SPENCER LISKO
BOLINGBROOK, IL
NPI
1912399791
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: IL 096.0032998)
Enumeration Date
2015-03-03
Last Update Date
2016-02-05
Business Address
KATIE LYNN SPENCER LISKO ATC
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 855-692-8478
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Mailing Address
KATIE LYNN SPENCER LISKO ATC
713 STRATFORD DR E APT 12
BOURBONNAIS, IL 60914-1777
Phone number: 906-430-0208
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