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1992978175
TRAVIS J SPAGNOLA
TINLEY PARK, IL
NPI
1992978175
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070016338)
Enumeration Date
2008-04-08
Last Update Date
2008-05-02
Business Address
TRAVIS J SPAGNOLA
17236 HARLEM AVE
TINLEY PARK, IL 60477-6619
Phone number: 708-633-8379
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Mailing Address
TRAVIS J SPAGNOLA
1816 170TH ST
HAZEL CREST, IL 60429-1451
Phone number: 708-335-1415
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