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1235916644
JOSHUA RAY BANUELOS
CHICAGO, IL
NPI
1235916644
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070027715)
Enumeration Date
2023-09-11
Last Update Date
2023-09-11
Business Address
JOSHUA RAY BANUELOS PT, DPT
409 W HURON ST STE 300
CHICAGO, IL 60654-3431
Phone number: 312-604-2562
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Mailing Address
JOSHUA RAY BANUELOS PT, DPT
2349 N DRAKE AVE APT 2
CHICAGO, IL 60647-7721
Phone number: 541-690-4595
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