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1174868491
PATRICIA AVINA
CHICAGO, IL
NPI
1174868491
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160006208)
Enumeration Date
2012-11-28
Last Update Date
2012-11-28
Business Address
-- PATRICIA AVINA PTA
4053 W 58TH ST
CHICAGO, IL 60629-4432
Phone number: 773-593-0731
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Mailing Address
-- PATRICIA AVINA PTA
4053 W 58TH ST
CHICAGO, IL 60629-4432
Phone number: 773-593-0731
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