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Individual
SHERIF DIAB
Active
Individual
SHERIF DIAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070015644
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070015644
IL LICENSE NUMBER
IL
Enumeration date
10/04/2010
Last updated
03/12/2021
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