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1518169754
PATRICIA BLAKE
JOLIET, IL
NPI
1518169754
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070004701)
Enumeration Date
2007-06-01
Last Update Date
2007-07-08
Business Address
Mrs. PATRICIA BLAKE PT
212 BARNEY DR
JOLIET, IL 60435-5271
Phone number: 815-725-2194
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Mailing Address
Mrs. PATRICIA BLAKE PT
15919 W 143RD ST
HOMER GLEN, IL 60491-8541
Phone number: 815-838-3130
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