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1922500974
KEN BARHAM
GLENVIEW, IL
NPI
1922500974
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160.002348)
Enumeration Date
2018-03-06
Last Update Date
2018-03-17
Business Address
KEN BARHAM
2600 COMPASS RD
GLENVIEW, IL 60026-8001
Phone number: 877-787-3422
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Mailing Address
KEN BARHAM
2318 WINCHESTER DR
CHAMPAIGN, IL 61821-6301
Phone number: 217-841-5616
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