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1659917177
CELERINO MARTINEZ
BERWYN, IL
NPI
1659917177
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160006680)
Enumeration Date
2019-11-19
Last Update Date
2019-11-19
Business Address
CELERINO MARTINEZ
3529 S HARLEM AVE APT 1
BERWYN, IL 60402-3235
Phone number: 347-276-5482
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Mailing Address
CELERINO MARTINEZ
3529 S HARLEM AVE APT 1
BERWYN, IL 60402-3235
Phone number: 347-276-5482
Copy
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