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1861243206
EMMANUEL BISTAS
CHICAGO, IL
NPI
1861243206
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: IL 227001888)
Enumeration Date
2024-04-01
Last Update Date
2024-04-01
Business Address
EMMANUEL BISTAS LMT
40 E HURON ST STE 200
CHICAGO, IL 60611-5244
Phone number: 312-493-1840
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Mailing Address
EMMANUEL BISTAS LMT
21385 GEORGETOWN RD
FRANKFORT, IL 60423-3009
Phone number: 312-493-1840
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