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1003802281
MERRIE VISCARRA
ELGIN, IL
NPI
1003802281
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: IL 036113267)
Enumeration Date
2005-09-23
Last Update Date
2018-10-09
Business Address
MERRIE VISCARRA DO
1530 N RANDALL RD STE 210
ELGIN, IL 60123-7879
Phone number: 224-760-7322
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Mailing Address
MERRIE VISCARRA DO
6400 INDUSTRIAL LOOP
GREENDALE, WI 53129-2452
Phone number: 414-858-4106
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