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Jose Raul Aguirre

Massage Therapist in Berwyn, IL. Individual provider (NPI-1).

NPI number1003577784
StatusActive
Last updated in NPPESJan 5, 2022

Details

NPI
1003577784
Entity type
Individual (NPI-1)
Name
Jose Raul Aguirre
Sex
Male
Sole proprietor
Yes
Enumeration date
Jan 5, 2022
Certification date
Jan 5, 2022
Last updated
Jan 5, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage Therapist227.019052ILYes

Practice location

2627 Euclid Ave
Berwyn, IL 60402-2519

Phone 872-333-4356

Mailing address

2627 Euclid Ave
Berwyn, IL 60402-2519

Phone 872-333-4356

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