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1083182760
ELIAS CABRAL
CHICAGO, IL
NPI
1083182760
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160.008005)
Enumeration Date
2018-11-11
Last Update Date
2018-11-11
Business Address
Mr. ELIAS CABRAL PTA
3834 W CORNELIA AVE APT 2
CHICAGO, IL 60618-5004
Phone number: 616-450-4059
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Mailing Address
Mr. ELIAS CABRAL PTA
3834 W CORNELIA AVE APT 2
CHICAGO, IL 60618-5004
Phone number: 616-450-4059
Copy
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