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1902941859
RICARDO FERNANDEZ
KALISPELL, MT
NPI
1902941859
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070005926)
Enumeration Date
2007-02-20
Last Update Date
2023-04-24
Business Address
RICARDO FERNANDEZ PT
25 HERITAGE WAY
KALISPELL, MT 59901-3100
Phone number: 406-407-7990
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Mailing Address
RICARDO FERNANDEZ PT
6701 W 95TH ST
OAK LAWN, IL 60453-2105
Phone number: 708-599-5000
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