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1699100354
PAMELA JEAN SIMON LAPORTE
HOMER GLEN, IL
NPI
1699100354
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070.016437)
Enumeration Date
2013-09-12
Last Update Date
2013-09-12
Business Address
Mrs. PAMELA JEAN SIMON LAPORTE P.T.
14901 S. FOUNDERS CROSSING
HOMER GLEN, IL 60491-6712
Phone number: 708-301-3571
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Mailing Address
Mrs. PAMELA JEAN SIMON LAPORTE P.T.
19534 SCARTH LN
MOKENA, IL 60448-1764
Phone number: 815-263-9335
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