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1316263247
EUGENE VRUCE MENESES FERNANDO
CHICAGO, IL
NPI
1316263247
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070017638)
Enumeration Date
2010-04-16
Last Update Date
2010-04-16
Business Address
Mr. EUGENE VRUCE MENESES FERNANDO P.T.
4920 N. CENTRAL AVENUE
CHICAGO, IL 60630-2028
Phone number: 773-205-8911
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Mailing Address
Mr. EUGENE VRUCE MENESES FERNANDO P.T.
5642 N MAJOR AVE
CHICAGO, IL 60646-6417
Phone number: 773-603-8648
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