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1649547431
ANTONIO ANDERE
ALSIP, IL
NPI
1649547431
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160.005548)
Enumeration Date
2011-11-21
Last Update Date
2011-11-21
Business Address
Mr. ANTONIO ANDERE
4618 W 115TH PL
ALSIP, IL 60803-2214
Phone number: 708-529-8814
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Mailing Address
Mr. ANTONIO ANDERE
4618 W 115TH PL
ALSIP, IL 60803-2214
Phone number: 708-529-8814
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