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1457633950
TAMARA HERRERA
BROOKFIELD, IL
NPI
1457633950
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160004962)
Enumeration Date
2011-09-12
Last Update Date
2011-09-12
Business Address
-- TAMARA HERRERA
4601 GROVE AVE 3
BROOKFIELD, IL 60513-2553
Phone number: 773-370-1217
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Mailing Address
-- TAMARA HERRERA
4601 GROVE AVE 3
BROOKFIELD, IL 60513-2553
Phone number: 773-370-1217
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