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1477280733
MARK ANGELES
ST CHARLES, IL
NPI
1477280733
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160.008294)
Enumeration Date
2022-08-05
Last Update Date
2022-08-05
Business Address
MARK ANGELES
975 N 5TH AVE
ST CHARLES, IL 60174-1299
Phone number: 630-443-8220
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Mailing Address
MARK ANGELES
1388 BORDEN DR
ELGIN, IL 60120-4367
Phone number: 773-470-9050
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