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1427178730
NATHANIEL JOHN MANZANO
URBANA, IL
NPI
1427178730
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070003477)
Enumeration Date
2007-03-30
Last Update Date
2007-07-08
Business Address
Mr. NATHANIEL JOHN MANZANO PT
810 W ANTHONY DR
URBANA, IL 61802-7431
Phone number: 217-383-3400
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Mailing Address
Mr. NATHANIEL JOHN MANZANO PT
611 W PARK ST
URBANA, IL 61801-2500
Phone number: 217-326-2911
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