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1972383511
CHANDREE OLIVA LACANLALE
NAPERVILLE, IL
NPI
1972383511
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070027835)
Enumeration Date
2023-10-02
Last Update Date
2023-10-02
Business Address
CHANDREE OLIVA LACANLALE DPT
1624 S ROUTE 59
NAPERVILLE, IL 60564-5966
Phone number: 331-248-4088
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Mailing Address
CHANDREE OLIVA LACANLALE DPT
1311 MAMARONECK AVE STE 140
WHITE PLAINS, NY 10605-5224
Phone number: 914-294-4050
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