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1023015526
PATRICE LASSA
CHICAGO, IL
NPI
1023015526
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160-004014)
Enumeration Date
2005-06-30
Last Update Date
2015-05-12
Business Address
-- PATRICE LASSA PTA
1634 W OHIO ST # 2
CHICAGO, IL 60622-6036
Phone number: 773-450-8119
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Mailing Address
-- PATRICE LASSA PTA
1634 W OHIO ST # 2
CHICAGO, IL 60622-6036
Phone number: 773-450-8119
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