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1386139145
EDGAR ALEXANDER BARRIOS
SPRING VALLEY, IL
NPI
1386139145
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Professional Name
ALEX BARRIOS
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224L00000X Pedorthist
(Licence: IL 212000132)
Enumeration Date
2018-06-25
Last Update Date
2018-06-25
Business Address
Mr. EDGAR ALEXANDER BARRIOS Pedorthist
307 W SAINT PAUL ST
SPRING VALLEY, IL 61362-1860
Phone number: 312-315-6584
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Mailing Address
Mr. EDGAR ALEXANDER BARRIOS Pedorthist
702 JUSTINA ST
HINSDALE, IL 60521-2425
Phone number: 312-315-6584
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