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1508118852
JOHN JAY CULLEN PENALOSA
CHICAGO, IL
NPI
1508118852
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070014382)
Enumeration Date
2012-10-11
Last Update Date
2012-10-11
Business Address
-- JOHN JAY CULLEN PENALOSA P.T.
1740 W TAYLOR ST RM C-100
CHICAGO, IL 60612-7232
Phone number: 312-996-3700
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Mailing Address
-- JOHN JAY CULLEN PENALOSA P.T.
1740 W TAYLOR ST RM C-100
CHICAGO, IL 60612-7232
Phone number: 312-996-3700
Copy
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