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1326264102
TRACEY MOSE
ORLAND PARK, IL
NPI
1326264102
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070008421)
Enumeration Date
2007-04-18
Last Update Date
2007-07-08
Business Address
-- TRACEY MOSE PT
16170 KINGSPORT RD
ORLAND PARK, IL 60467-5602
Phone number: 708-349-6544
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Mailing Address
-- TRACEY MOSE PT
633 MELROSE LN APT 1
BEECHER, IL 60401-3613
Phone number: 708-349-6544
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