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1992055933
ELCY DESMANGLES
CHICAGO, IL
NPI
1992055933
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160000594)
Enumeration Date
2012-09-18
Last Update Date
2012-09-18
Business Address
-- ELCY DESMANGLES
2900 N LAKE SHORE DR
CHICAGO, IL 60657-5640
Phone number: 773-665-3184
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Mailing Address
-- ELCY DESMANGLES
1904 W MORSE AVE APT 1
CHICAGO, IL 60626-3112
Phone number:
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