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1851601751
JOSE CARLOS
CHICAGO, IL
NPI
1851601751
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IL 057.002854)
Enumeration Date
2010-10-14
Last Update Date
2010-10-14
Business Address
JOSE CARLOS
2612 W LELAND AVE APT # 2
CHICAGO, IL 60625-2986
Phone number: 312-339-0653
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Mailing Address
JOSE CARLOS
2612 W LELAND AVE APT # 2
CHICAGO, IL 60625-2986
Phone number:
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