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1851490148
MALCOLM FRASER
GURNEE, IL
NPI
1851490148
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070008407)
Enumeration Date
2006-09-22
Last Update Date
2012-03-14
Business Address
-- MALCOLM FRASER PT
3430 GRAND AVE SUITE 400
GURNEE, IL 60031-3741
Phone number: 847-782-9860
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Mailing Address
-- MALCOLM FRASER PT
205 W WACKER DR SUITE 1020
CHICAGO, IL 60606-1216
Phone number: 312-640-0329
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