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Individual

KATRINA DEKIRMENDJIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
1718 N ASHLAND AVE APT 2F, CHICAGO, IL 60622-1429
(312) 576-0605
Mailing address
1718 N ASHLAND AVE APT 2F, CHICAGO, IL 60622-1429
(312) 576-0605

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.004002
IL

Other

Enumeration date
07/17/2015
Last updated
07/17/2015
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