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1538854252
JACK MA
AURORA, IL
NPI
1538854252
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225XP0019X Occupational Therapist, Physical Rehabilitation
(Licence: IL 057.005543)
Enumeration Date
2023-04-07
Last Update Date
2023-04-07
Business Address
JACK MA
4020 E NEW YORK ST
AURORA, IL 60504-4416
Phone number: 331-301-5590
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Mailing Address
JACK MA
811 MORAN ST
JOLIET, IL 60435-4534
Phone number:
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JUSTPLAY PEDIATRIC THERAPY AND CHILDREN'S PLAY SPACE LLC