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1487477287
NICHOLAS JORDAN ATHERTON
HIGHLAND PARK, IL
NPI
1487477287
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160010266)
Enumeration Date
2024-11-01
Last Update Date
2024-11-01
Business Address
NICHOLAS JORDAN ATHERTON
478 CENTRAL AVE
HIGHLAND PARK, IL 60035-2651
Phone number: 847-748-9175
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Mailing Address
NICHOLAS JORDAN ATHERTON
651 KENILWORTH CT
DES PLAINES, IL 60016-3143
Phone number:
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