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1790157873
DEANNA V LIST
CHICAGO, IL
NPI
1790157873
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070021865)
Enumeration Date
2015-10-28
Last Update Date
2015-10-28
Business Address
-- DEANNA V LIST
558 W 35TH ST
CHICAGO, IL 60616-3532
Phone number: 773-451-0200
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Mailing Address
-- DEANNA V LIST
558 W 35TH ST
CHICAGO, IL 60616-3532
Phone number: 773-451-0200
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