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1023142619
VANESSA L HALSTEAD
PEORIA, IL
NPI
1023142619
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070-014710)
Enumeration Date
2007-03-15
Last Update Date
2007-07-08
Business Address
-- VANESSA L HALSTEAD Physical Therapist
507 E ARMSTRONG AVE
PEORIA, IL 61603-3201
Phone number: 309-686-1177
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Mailing Address
-- VANESSA L HALSTEAD Physical Therapist
1412 W WALNUT ST
BLOOMINGTON, IL 61701-2653
Phone number: 757-719-4139
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