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1942511621
JUSTIN VELARDE
NEW LENOX, IL
NPI
1942511621
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070018250)
Enumeration Date
2010-06-28
Last Update Date
2014-12-11
Business Address
-- JUSTIN VELARDE DPT
2534 E LINCOLN HWY
NEW LENOX, IL 60451-9712
Phone number: 815-462-9420
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Mailing Address
-- JUSTIN VELARDE DPT
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 630-296-2223
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