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1023358272
LAVANYA DURAIRAJAN
ROCKFORD, IL
NPI
1023358272
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 11647-024)
Enumeration Date
2013-02-26
Last Update Date
2013-02-26
Business Address
Mrs. LAVANYA DURAIRAJAN RPT
7358 SHILIGTON DR
ROCKFORD, IL 61107
Phone number: 815-516-7970
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Mailing Address
Mrs. LAVANYA DURAIRAJAN RPT
7358 SHILLINGTON DR
ROCKFORD, IL 61107-2792
Phone number: 815-516-7970
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