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1205024213
ANGELICA MARIA DIAZ
CHICAGO, IL
NPI
1205024213
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160002275)
Enumeration Date
2007-10-04
Last Update Date
2007-10-04
Business Address
Mrs. ANGELICA MARIA DIAZ PTA
6500 W 65TH ST
CHICAGO, IL 60638-4962
Phone number: 708-496-1515
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Mailing Address
Mrs. ANGELICA MARIA DIAZ PTA
3441 S 61ST AVE
CICERO, IL 60804-3748
Phone number: 708-656-5363
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