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1922473743
MARINA BISARO
CHICAGO, IL
NPI
1922473743
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL 096.004037)
Enumeration Date
2015-12-04
Last Update Date
2015-12-04
Business Address
-- MARINA BISARO ATC, MS
1450 W POLK ST APARTMENT 2R
CHICAGO, IL 60607-4017
Phone number: 845-325-9590
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Mailing Address
-- MARINA BISARO ATC, MS
1450 W POLK ST APARTMENT 2R
CHICAGO, IL 60607-4017
Phone number: 845-325-9590
Copy
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