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1356591895
ERIC MANZANO
CARBONDALE, IL
NPI
1356591895
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070007573)
Enumeration Date
2008-09-21
Last Update Date
2014-09-17
Business Address
-- ERIC MANZANO P.T.
306 W MILL ST
CARBONDALE, IL 62901-2727
Phone number: 618-529-3060
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Mailing Address
-- ERIC MANZANO P.T.
306 W MILL ST
CARBONDALE, IL 62901-2727
Phone number: 618-529-3060
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