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1477807972
NATHANIEL CODINA
CHICAGO, IL
NPI
1477807972
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IL 056.007116)
Enumeration Date
2012-11-05
Last Update Date
2012-11-05
Business Address
Mr. NATHANIEL CODINA OTR-L
2710 N CLARK ST
CHICAGO, IL 60614-1503
Phone number: 773-244-0005
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Mailing Address
Mr. NATHANIEL CODINA OTR-L
400 E RANDOLPH ST APT 1519
CHICAGO, IL 60601-7329
Phone number: 773-405-7103
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