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1013288075
JAMAL SHARIF HASSAN
CHICAGO, IL
NPI
1013288075
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160005554)
Enumeration Date
2012-01-23
Last Update Date
2012-01-23
Business Address
-- JAMAL SHARIF HASSAN PTA
11150 S HOYNE AVE
CHICAGO, IL 60643-4004
Phone number: 773-592-6872
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Mailing Address
-- JAMAL SHARIF HASSAN PTA
11150 S HOYNE AVE
CHICAGO, IL 60643-4004
Phone number: 773-592-6872
Copy
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