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1497001580
AUGUSTO GUERRA AUTEA
MORTON GROVE, IL
NPI
1497001580
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070.019057)
Enumeration Date
2012-07-26
Last Update Date
2016-06-09
Business Address
Mr. AUGUSTO GUERRA AUTEA PT
8909 BELLEFORTE AVE
MORTON GROVE, IL 60053-2018
Phone number: 555-555-5555
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Mailing Address
Mr. AUGUSTO GUERRA AUTEA PT
16089 POPPYSEED CIR UNIT 2008
DELRAY BEACH, FL 33484-6314
Phone number: 561-496-7993
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