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1457662223
BERENICE SOTO
GLENVIEW, IL
NPI
1457662223
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160.005173)
Enumeration Date
2010-06-27
Last Update Date
2010-06-27
Business Address
-- BERENICE SOTO PTA,CI,CKTP
3703 W LAKE AVE SUITE 200
GLENVIEW, IL 60026-1223
Phone number: 847-998-1188
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Mailing Address
-- BERENICE SOTO PTA,CI,CKTP
2316 S 16TH AVE
BROADVIEW, IL 60155-4014
Phone number: 708-296-3103
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