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Individual

KENNETH CAPLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
211 S COUNTY ST, WAUKEGAN, IL 60085
(847) 714-4054
Mailing address
211 S COUNTY ST, WAUKEGAN, IL 60085-5510
(847) 714-4045

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
10/10/2016
Last updated
10/10/2016
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