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1346783438
PAUL MIRANDA
CHICAGO, IL
NPI
1346783438
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070.013575)
Enumeration Date
2016-11-22
Last Update Date
2016-11-22
Business Address
Mr. PAUL MIRANDA PT
4725 N SHERIDAN RD APT 2D
CHICAGO, IL 60640-4793
Phone number: 773-391-6495
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Mailing Address
Mr. PAUL MIRANDA PT
4725 N SHERIDAN RD APT 2D
CHICAGO, IL 60640-4793
Phone number: 773-391-6495
Copy
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