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1427230572
STEPHEN BREAULT
CHICAGO, IL
NPI
1427230572
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070010655)
Enumeration Date
2007-11-30
Last Update Date
2007-11-30
Business Address
-- STEPHEN BREAULT pt
8 W CHESTNUT ST
CHICAGO, IL 60610-3313
Phone number: 312-266-9090
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Mailing Address
-- STEPHEN BREAULT pt
8 W CHESTNUT ST
CHICAGO, IL 60610-3313
Phone number:
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