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1326777137
DEAN R COULTER
CHICAGO, IL
NPI
1326777137
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070026687)
Enumeration Date
2022-06-07
Last Update Date
2022-10-25
Business Address
DEAN R COULTER DPT
2540 N LINCOLN AVE
CHICAGO, IL 60614-2314
Phone number: 877-632-6637
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Mailing Address
DEAN R COULTER DPT
2540 N LINCOLN AVE
CHICAGO, IL 60614-2314
Phone number: 877-632-6637
Copy
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