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1538393483
DJEDAH PATES
CHICAGO, IL
NPI
1538393483
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070015089)
Enumeration Date
2009-05-06
Last Update Date
2009-05-06
Business Address
Miss DJEDAH PATES PT
2710 N CLARK ST
CHICAGO, IL 60614-1503
Phone number: 773-244-0005
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Mailing Address
Miss DJEDAH PATES PT
1243 JUDSON AVE APT 1
EVANSTON, IL 60202-1388
Phone number: 847-859-2372
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