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1396196309
LEONARD WANTA
BURR RIDGE, IL
NPI
1396196309
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070003801)
Enumeration Date
2016-06-30
Last Update Date
2016-06-30
Business Address
Dr. LEONARD WANTA PT
126 CIRCLE RIDGE DR
BURR RIDGE, IL 60527-8379
Phone number: 630-789-8962
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Mailing Address
Dr. LEONARD WANTA PT
126 CIRCLE RIDGE DR
BURR RIDGE, IL 60527-8379
Phone number: 630-789-8962
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