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1174186878
MITZI ANN TIU FORNES
DES PLAINES, IL
NPI
1174186878
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070023418)
Enumeration Date
2019-04-17
Last Update Date
2019-04-17
Business Address
MITZI ANN TIU FORNES
10011 LINDA LN APT 2S
DES PLAINES, IL 60016-1334
Phone number: 916-280-3259
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Mailing Address
MITZI ANN TIU FORNES
10011 LINDA LN APT 2S
DES PLAINES, IL 60016-1334
Phone number: 916-280-3259
Copy
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