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1427639400
BRYLENE LAVELLE PATRICK
PALOS HILLS, IL
NPI
1427639400
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160009225)
Enumeration Date
2021-04-20
Last Update Date
2021-04-20
Business Address
BRYLENE LAVELLE PATRICK
10400 S ROBERTS RD
PALOS HILLS, IL 60465-1972
Phone number: 219-308-4891
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Mailing Address
BRYLENE LAVELLE PATRICK
15301 KNOX AVE APT 4
OAK FOREST, IL 60452-2542
Phone number: 210-780-0854
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