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1396406237
DEREK ALLEN GRAY
CHICAGO, IL
NPI
1396406237
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160.009402)
Enumeration Date
2022-01-03
Last Update Date
2022-01-03
Business Address
MR. DEREK ALLEN GRAY PTA
2425 E 71ST ST
CHICAGO, IL 60649-2612
Phone number: 773-721-5000
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Mailing Address
MR. DEREK ALLEN GRAY PTA
801 S FINANCIAL PL APT 1703
CHICAGO, IL 60605-1794
Phone number: 804-317-7849
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