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1982938726
NICOLE C GRAHAM
CHICAGO, IL
NPI
1982938726
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL 096003262)
Enumeration Date
2009-09-27
Last Update Date
2014-09-19
Business Address
-- NICOLE C GRAHAM ATC, LAT
839 W ROOSEVELT RD ATHLETIC TRAINING
CHICAGO, IL 60608-1530
Phone number: 312-993-2043
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Mailing Address
-- NICOLE C GRAHAM ATC, LAT
3435 N ELAINE PL APT #2R
CHICAGO, IL 60657-2077
Phone number: 847-668-5597
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