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1629510532
SHANA ASHLEY MANNING
CHICAGO, IL
NPI
1629510532
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070.022647)
Enumeration Date
2016-11-09
Last Update Date
2016-11-09
Business Address
-- SHANA ASHLEY MANNING DPT
5820 W IRVING PARK RD
CHICAGO, IL 60634-2616
Phone number: 773-685-8482
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Mailing Address
-- SHANA ASHLEY MANNING DPT
5138 BRIDLEWOOD CT
LONG GROVE, IL 60047-5069
Phone number: 847-924-0410
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