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1043227473
LEAH MAE FULTON
CHICAGO, IL
NPI
1043227473
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Former Name
LEAH MAE KRUDOP
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070-009674)
Enumeration Date
2006-08-01
Last Update Date
2010-09-08
Business Address
Mrs. LEAH MAE FULTON P.T.
205 W WACKER DR SUIE 820
CHICAGO, IL 60606-1216
Phone number: 312-640-0329
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Mailing Address
Mrs. LEAH MAE FULTON P.T.
1312 DORCHESTER DR
MUNDELEIN, IL 60060-1054
Phone number: 847-949-0983
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