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1023078714
EVAN L DAVIS
JACKSONVILLE, IL
NPI
1023078714
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070010539)
Enumeration Date
2006-03-25
Last Update Date
2007-07-08
Business Address
-- EVAN L DAVIS PT
901 W MORTON AVE SUITE 16A
JACKSONVILLE, IL 62650-3146
Phone number: 217-245-4640
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Mailing Address
-- EVAN L DAVIS PT
3705 SWITCHGRASS CT
SPRINGFIELD, IL 62712-5878
Phone number: 217-523-7590
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