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1922375955
JUSTIN SWORD
CHICAGO, IL
NPI
1922375955
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL 096.002423)
Enumeration Date
2011-11-18
Last Update Date
2011-11-18
Business Address
-- JUSTIN SWORD MS, ATC, LAT
5530 S ELLIS AVE
CHICAGO, IL 60637-1402
Phone number: 773-702-3875
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Mailing Address
-- JUSTIN SWORD MS, ATC, LAT
5530 S ELLIS AVE
CHICAGO, IL 60637-1402
Phone number: 773-702-3875
Copy
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