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Individual
LAURA GOSEWISCH
Active
Individual
LAURA GOSEWISCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.003135
IL
Other
Enumeration date
01/23/2012
Last updated
01/23/2012
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