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1578734711
VICKI MARIA TYSSELING MATTIACE
CHICAGO, IL
NPI
1578734711
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070011158)
Enumeration Date
2008-03-16
Last Update Date
2008-03-16
Business Address
-- VICKI MARIA TYSSELING MATTIACE P.T.
124 W POLK ST APT 807
CHICAGO, IL 60605-1767
Phone number: 312-583-9077
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Mailing Address
-- VICKI MARIA TYSSELING MATTIACE P.T.
124 W POLK ST APT 807
CHICAGO, IL 60605-1767
Phone number:
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