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1255361929
ANTHONY MIRELES
WOODSTOCK, IL
NPI
1255361929
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070-009675)
Enumeration Date
2006-07-05
Last Update Date
2007-07-08
Business Address
-- ANTHONY MIRELES PT
2000 LAKE AVE
WOODSTOCK, IL 60098-7401
Phone number: 815-337-7100
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Mailing Address
-- ANTHONY MIRELES PT
2000 LAKE AVE
WOODSTOCK, IL 60098-7401
Phone number:
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