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ARMANDO ARNOLD DATOR APARTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1505 N MILWAUKEE AVE APT 6C, LIBERTYVILLE, IL 60048-1363
(847) 975-4607
Mailing address
1505 N MILWAUKEE AVE APT 6C, LIBERTYVILLE, IL 60048-1363
(847) 975-4607

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
238.000621
IL

Other

Enumeration date
11/09/2021
Last updated
11/09/2021
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