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1619689866
ALLAN JAHN SIMANGAN
CHICAGO, IL
NPI
1619689866
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160.008883)
Enumeration Date
2022-12-20
Last Update Date
2022-12-20
Business Address
Mr. ALLAN JAHN SIMANGAN
6950 W HIGGINS AVE
CHICAGO, IL 60656-1928
Phone number: 312-477-1265
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Mailing Address
Mr. ALLAN JAHN SIMANGAN
6950 W HIGGINS AVE
CHICAGO, IL 60656-1928
Phone number: 312-477-1265
Copy
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