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1205170875
MARK STANLEY HAGLER
GLENVIEW, IL
NPI
1205170875
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160006216)
Enumeration Date
2012-11-20
Last Update Date
2012-11-20
Business Address
Mr. MARK STANLEY HAGLER PTA
3703 W LAKE AVE SUITE 200
GLENVIEW, IL 60026-1223
Phone number: 847-998-1188
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Mailing Address
Mr. MARK STANLEY HAGLER PTA
1 VETERANS DR
MANTENO, IL 60950-9466
Phone number: 815-468-7731
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