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1710646724
JORGE LUIS VAZQUEZ
GLENVIEW, IL
NPI
1710646724
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: CT 002132)
Enumeration Date
2021-12-17
Last Update Date
2021-12-17
Business Address
JORGE LUIS VAZQUEZ
2600 COMPASS RD
GLENVIEW, IL 60026-8001
Phone number: 877-787-3422
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Mailing Address
JORGE LUIS VAZQUEZ
15 MAIN ST APT 4
WILLIMANTIC, CT 06226-2955
Phone number: 860-617-8754
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