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1245546191
PHILLIP MENDOZA
SOUTH ELGIN, IL
NPI
1245546191
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: IL 227009699)
Enumeration Date
2010-08-28
Last Update Date
2010-08-28
Business Address
Mr. PHILLIP MENDOZA
1408 BURKE LN
SOUTH ELGIN, IL 60177-3054
Phone number: 847-630-8836
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Mailing Address
Mr. PHILLIP MENDOZA
1408 BURKE LN
SOUTH ELGIN, IL 60177-3054
Phone number: 847-630-8836
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