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1043569114
STEPHANIE DOMAGALSKI
SPRINGFIELD, IL
NPI
1043569114
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070.019433)
Enumeration Date
2012-09-05
Last Update Date
2012-09-05
Business Address
-- STEPHANIE DOMAGALSKI
3631 S 6TH ST
SPRINGFIELD, IL 62703-4777
Phone number: 217-535-3685
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Mailing Address
-- STEPHANIE DOMAGALSKI
3631 S 6TH ST
SPRINGFIELD, IL 62703-4777
Phone number:
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