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1073654968
JASON WALTERS
CHICAGO, IL
NPI
1073654968
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070012842)
Enumeration Date
2007-02-12
Last Update Date
2007-07-08
Business Address
-- JASON WALTERS PT
1644 N MILWAUKEE AVE
CHICAGO, IL 60647-5412
Phone number: 773-252-2300
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Mailing Address
-- JASON WALTERS PT
1644 N MILWAUKEE AVE
CHICAGO, IL 60647-5412
Phone number:
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