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1851701668
DEMETRIOS BOBOLOS
LA GRANGE, IL
NPI
1851701668
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171100000X Acupuncturist
(Licence: IL 198.001145)
Enumeration Date
2014-05-01
Last Update Date
2014-05-01
Business Address
-- DEMETRIOS BOBOLOS LAc
512 W BURLINGTON AVE SUITE 104
LA GRANGE, IL 60525-2221
Phone number: 708-469-7592
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Mailing Address
-- DEMETRIOS BOBOLOS LAc
5757 N SHERIDAN RD 17D
CHICAGO, IL 60660-4746
Phone number: 773-835-2626
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