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1225174162
BRYAN S MALAS
CHICAGO, IL
NPI
1225174162
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: IL 213-000153)
Enumeration Date
2007-01-29
Last Update Date
2007-07-08
Business Address
Mr. BRYAN S MALAS MHPE, CO
2300 N CHILDRENS PLZ #46
CHICAGO, IL 60614-3363
Phone number: 773-327-1061
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Mailing Address
Mr. BRYAN S MALAS MHPE, CO
2056 W BRADLEY PL #2
CHICAGO, IL 60618-4908
Phone number: 773-935-6751
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