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1194237677
ADAM JOSEPH MOODY
KANKAKEE, IL
NPI
1194237677
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QP2000X Clinic/Center, Physical Therapy
(Licence: IL 160006509)
Enumeration Date
2017-10-24
Last Update Date
2017-10-24
Business Address
Mr. ADAM JOSEPH MOODY PTA
7 DURELL DR
KANKAKEE, IL 60901-6001
Phone number: 000-000-0000
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Mailing Address
Mr. ADAM JOSEPH MOODY PTA
7 DURELL DR
KANKAKEE, IL 60901-6001
Phone number:
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