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1871102921
MANUEL LULE
CHICAGO, IL
NPI
1871102921
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160.008926)
Enumeration Date
2020-07-24
Last Update Date
2020-07-24
Business Address
MANUEL LULE PTA
9535 S JEFFERY BOULEVARD
CHICAGO, IL 60617
Phone number: 773-359-4347
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Mailing Address
MANUEL LULE PTA
570 VILLAGE CENTER DR STE 205
BURR RIDGE, IL 60527-4526
Phone number:
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