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1942331343
JACQUELINE M PRUSINSKI
CHICAGO, IL
NPI
1942331343
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2007-03-08
Last Update Date
2007-07-08
Business Address
-- JACQUELINE M PRUSINSKI ATC
5412 N MONT CLARE AVE
CHICAGO, IL 60656-1931
Phone number: 773-631-8616
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Mailing Address
-- JACQUELINE M PRUSINSKI ATC
5412 N MONT CLARE AVE
CHICAGO, IL 60656-1931
Phone number:
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