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1609497593
AMANDA BERNICE TAN
CHICAGO, IL
NPI
1609497593
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160006690)
Enumeration Date
2020-05-01
Last Update Date
2020-05-01
Business Address
-- AMANDA BERNICE TAN PTA
2815 W HOWARD ST APT 2E
CHICAGO, IL 60645-1200
Phone number: 872-202-6231
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Mailing Address
-- AMANDA BERNICE TAN PTA
2815 W HOWARD ST APT 2E
CHICAGO, IL 60645-1200
Phone number: 872-202-6231
Copy
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