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1215136239
NICK V. GABASA
DECATUR, IL
NPI
1215136239
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070014822)
Enumeration Date
2007-07-11
Last Update Date
2007-07-11
Business Address
-- NICK V. GABASA
444 W HARRISON AVE
DECATUR, IL 62526-4157
Phone number: 217-877-7333
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Mailing Address
-- NICK V. GABASA
1705 S COUNTRY CLUB RD APT 210
DECATUR, IL 62521-4439
Phone number: 586-344-1682
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