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1942607734
RICARDO PERALES
BURBANK, IL
NPI
1942607734
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL 096003601)
Enumeration Date
2014-11-24
Last Update Date
2014-11-24
Business Address
Mr. RICARDO PERALES ATC
5556 W 77TH ST
BURBANK, IL 60459-1300
Phone number: 773-892-2132
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Mailing Address
Mr. RICARDO PERALES ATC
5556 W 77TH ST
BURBANK, IL 60459
Phone number: 773-892-2132
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