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1386088334
VICTOR FUENTES
CHICAGO, IL
NPI
1386088334
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160005824)
Enumeration Date
2013-04-22
Last Update Date
2013-04-22
Business Address
-- VICTOR FUENTES
5820 W IRVING PARK RD
CHICAGO, IL 60634-2616
Phone number: 773-685-8482
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Mailing Address
-- VICTOR FUENTES
5820 W IRVING PARK RD
CHICAGO, IL 60634-2616
Phone number: 773-685-8482
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