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1942820352
BENJAMIN D FIGHTMASTER
OTTAWA, IL
NPI
1942820352
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160008585)
Enumeration Date
2020-04-26
Last Update Date
2020-04-26
Business Address
BENJAMIN D FIGHTMASTER
1306 GEMINI CIR STE 2
OTTAWA, IL 61350-1695
Phone number: 085-081-5433
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Mailing Address
BENJAMIN D FIGHTMASTER
1306 GEMINI CIR STE 2
OTTAWA, IL 61350-1695
Phone number:
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