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1942269261
JACQUELINE ANN RICHARDSON
CHICAGO, IL
NPI
1942269261
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL 096001951)
Enumeration Date
2006-03-23
Last Update Date
2007-07-08
Business Address
Mrs. JACQUELINE ANN RICHARDSON ATC
5616 W 63RD ST
CHICAGO, IL 60638-5511
Phone number: 773-526-5239
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Mailing Address
Mrs. JACQUELINE ANN RICHARDSON ATC
16908 S LECLAIRE
OAK FOREST, IL 60452
Phone number: 708-560-8634
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