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1144579822
DEXTER AVANCENA
MOUNT PROSPECT, IL
NPI
1144579822
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070014198)
Enumeration Date
2012-09-10
Last Update Date
2012-09-10
Business Address
-- DEXTER AVANCENA
1020 N WHEELING RD
MOUNT PROSPECT, IL 60056
Phone number: 847-977-0623
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Mailing Address
-- DEXTER AVANCENA
1020 N WHEELING RD
MOUNT PROSPECT, IL 60056
Phone number:
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