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1932168945
JANE ELIZABETH SANDOVAL
GRAYSLAKE, IL
NPI
1932168945
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL 096001130)
Enumeration Date
2006-03-20
Last Update Date
2007-07-08
Business Address
Mrs. JANE ELIZABETH SANDOVAL ATC
1277 CHURCHILL LN
GRAYSLAKE, IL 60030-3763
Phone number: 847-223-8460
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Mailing Address
Mrs. JANE ELIZABETH SANDOVAL ATC
1277 CHURCHILL LN
GRAYSLAKE, IL 60030-3763
Phone number: 847-223-8460
Copy
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