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Individual

ADELINO MENDOZA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3106 CARRIE ST, PERU, IL 61354-1494
(815) 993-3521
Mailing address
3106 CARRIE ST, PERU, IL 61354-1494

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070-006974
IL

Other

Enumeration date
08/06/2014
Last updated
08/06/2014
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