RALPH EDWARD SABALLA JUNQUERA

NORMAL, IL
NPI1780887505
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070.015244)
Enumeration Date2007-06-08
Last Update Date2021-01-31
Business Address
Mr. RALPH EDWARD SABALLA JUNQUERA PT
510 BROADWAY ST. , MANOR CARE REHAB AND NURSING
NORMAL, IL 61716-3816
Phone number: 309-452-4406
Mailing Address
Mr. RALPH EDWARD SABALLA JUNQUERA PT
1513 KELL AVENUE
BLOOMINGTON, IL 61705
Phone number: 309-319-1405
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