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1588086805
BRIAN SO
EVANSTON, IL
NPI
1588086805
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070-020486)
Enumeration Date
2014-01-07
Last Update Date
2014-01-07
Business Address
-- BRIAN SO
909 DAVIS ST SUITE 220
EVANSTON, IL 60201-3683
Phone number: 847-733-7906
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Mailing Address
-- BRIAN SO
909 DAVIS ST SUITE 220
EVANSTON, IL 60201-3683
Phone number: 847-733-7906
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