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1285922146
BRIAN PEDERSEN
SKOKIE, IL
NPI
1285922146
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070-018515)
Enumeration Date
2011-07-13
Last Update Date
2011-07-13
Business Address
BRIAN PEDERSEN PT
4607 GOLF RD
SKOKIE, IL 60076-1209
Phone number: 847-673-5073
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Mailing Address
BRIAN PEDERSEN PT
4607 GOLF RD
SKOKIE, IL 60076-1209
Phone number: 847-673-5073
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