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1215026356
MA DAPHANE RAFANAN
CHICAGO, IL
NPI
1215026356
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070-008728)
Enumeration Date
2006-10-12
Last Update Date
2007-09-20
Business Address
-- MA DAPHANE RAFANAN LPT
2032 W CERMAK RD
CHICAGO, IL 60608-4116
Phone number: 773-247-8855
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Mailing Address
-- MA DAPHANE RAFANAN LPT
100 E IRVING PARK RD STE. #107
ROSELLE, IL 60172-2048
Phone number: 630-439-0009
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