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1760913818
RICHARD MEBANE
CHICAGO, IL
NPI
1760913818
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
Enumeration Date
2017-03-21
Last Update Date
2017-03-22
Business Address
-- RICHARD MEBANE PTA
6255 S ARCHER AVE
CHICAGO, IL 60638-2609
Phone number: 773-284-6735
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Mailing Address
-- RICHARD MEBANE PTA
625 ENTERPRISE DR
OAK BROOK, IL 60523-8813
Phone number: 630-575-6250
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