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1730598699
CARLOS GONZALEZ
CHICAGO, IL
NPI
1730598699
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: IL 227.007432)
Enumeration Date
2014-08-05
Last Update Date
2014-08-05
Business Address
-- CARLOS GONZALEZ L.M.T.
6518 N CLARK ST
CHICAGO, IL 60626-4002
Phone number: 773-326-5615
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Mailing Address
-- CARLOS GONZALEZ L.M.T.
1852 W MORSE AVE
CHICAGO, IL 60626-3109
Phone number: 773-326-5615
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