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1174093314
JONATHAN AGUDA
CHICAGO, IL
NPI
1174093314
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160.008394)
Enumeration Date
2018-11-30
Last Update Date
2018-11-30
Business Address
JONATHAN AGUDA PTA
3800 N CALIFORNIA AVE
CHICAGO, IL 60618-3606
Phone number: 478-478-4222
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Mailing Address
JONATHAN AGUDA PTA
1666 W EDGEWATER AVE
CHICAGO, IL 60660-4016
Phone number: 773-350-2167
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