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1972893931
DEREK ALLEN MASON
CHICAGO, IL
NPI
1972893931
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160005367)
Enumeration Date
2011-04-12
Last Update Date
2011-04-12
Business Address
-- DEREK ALLEN MASON
2649 E 75TH ST
CHICAGO, IL 60649-3835
Phone number: 773-356-9300
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Mailing Address
-- DEREK ALLEN MASON
301 E COLORADO AVE
CASEY, IL 62420-1510
Phone number: 217-232-4449
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