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1639424203
CHAD M HATAYAMA
DECATUR, IL
NPI
1639424203
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070011630)
Enumeration Date
2012-07-19
Last Update Date
2012-07-19
Business Address
-- CHAD M HATAYAMA P.T.
2300 N EDWARD ST
DECATUR, IL 62526-4163
Phone number: 217-876-8121
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Mailing Address
-- CHAD M HATAYAMA P.T.
10 MORNING GLORY CT
MT ZION, IL 62549-9705
Phone number:
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