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1144647405
GEMMA MATA
CHICAGO, IL
NPI
1144647405
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070.017756)
Enumeration Date
2014-03-25
Last Update Date
2014-03-25
Business Address
-- GEMMA MATA
6833 N KEDZIE AVE APT 810
CHICAGO, IL 60645-2897
Phone number: 773-645-5167
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Mailing Address
-- GEMMA MATA
6833 N KEDZIE AVE APT 810
CHICAGO, IL 60645-2897
Phone number:
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