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1356667489
ELITE CARE PROVIDERS PC
CHAMPAIGN, IL
NPI
1356667489
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Entity Type
Organization
Authorized Contact
JONAS RAFAEL MOLINA
President
217-418-0118
Organization Subpart ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2010-04-14
Last Update Date
2010-11-22
Business Address
ELITE CARE PROVIDERS PC
704 GOLDENVIEW DR
CHAMPAIGN, IL 61821-3430
Phone number: 217-418-0118
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Mailing Address
ELITE CARE PROVIDERS PC
704 GOLDENVIEW DR
CHAMPAIGN, IL 61821-3430
Phone number: 217-418-0118
Copy
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