LUIS JIMENEZ

MARION, IL
NPI1851307839
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070-009473)
Enumeration Date2006-07-31
Last Update Date2007-07-08
Business Address
-- LUIS JIMENEZ PT
2401 W MAIN ST
MARION, IL 62959-1188
Phone number: 618-997-5311
Mailing Address
-- LUIS JIMENEZ PT
119 N GORDON LN
CARBONDALE, IL 62901-1946
Phone number:
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