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1306014485
FEDERICO MORTA DAVID
MARYVILLE, IL
NPI
1306014485
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070015652)
Enumeration Date
2008-02-12
Last Update Date
2008-02-12
Business Address
-- FEDERICO MORTA DAVID
2928 N. CENTER ST.
MARYVILLE, IL 62062
Phone number: 618-288-5711
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Mailing Address
-- FEDERICO MORTA DAVID
2928 N. CENTER ST.
MARYVILLE, IL 62062
Phone number: 618-288-5711
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