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1851061253
MAYRA AVILA
BROOKFIELD, IL
NPI
1851061253
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160.006112)
Enumeration Date
2021-09-16
Last Update Date
2021-09-20
Business Address
Mrs. MAYRA AVILA PTA
8700 31ST ST
BROOKFIELD, IL 60513-1000
Phone number: 708-485-1155
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Mailing Address
Mrs. MAYRA AVILA PTA
8700 31ST ST
BROOKFIELD, IL 60513-1000
Phone number:
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