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1326648023
JACOB DANIEL LEDESMA
BOURBONNAIS, IL
NPI
1326648023
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070025487)
Enumeration Date
2020-10-30
Last Update Date
2021-08-18
Business Address
Dr. JACOB DANIEL LEDESMA PT, DPT
588 WILLIAM R LATHAM SENIOR DR STE 5
BOURBONNAIS, IL 60914
Phone number: 815-937-0446
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Mailing Address
Dr. JACOB DANIEL LEDESMA PT, DPT
1311 MAMARONECK AVE STE 140
WHITE PLAINS, NY 10605-5224
Phone number: 914-294-4050
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