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1053419325
ANGELA S KISNER
ST CHARLES, IL
NPI
1053419325
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070011713)
Enumeration Date
2006-09-20
Last Update Date
2007-07-08
Business Address
-- ANGELA S KISNER PT
3815 E MAIN ST SUITE B
ST CHARLES, IL 60174-2488
Phone number: 630-584-7530
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Mailing Address
-- ANGELA S KISNER PT
70 AUGUSTA CT
GLENDALE HEIGHTS, IL 60139-1820
Phone number: 630-893-0729
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