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1013474402
KRISTIN UPP
JOLIET, IL
NPI
1013474402
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160.003981)
Enumeration Date
2019-02-21
Last Update Date
2019-02-21
Business Address
KRISTIN UPP PTA
333 MADISON ST
JOLIET, IL 60435-8200
Phone number: 815-725-7133
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Mailing Address
KRISTIN UPP PTA
5304 WHISPERING OAKS DR
PLAINFIELD, IL 60586-6633
Phone number: 630-632-8921
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