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1053890392
TRENTON L. WISEMAN
SPRINGFIELD, IL
NPI
1053890392
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070023718)
Enumeration Date
2018-08-08
Last Update Date
2020-05-19
Business Address
TRENTON L. WISEMAN DPT
800 N 1ST ST
SPRINGFIELD, IL 62702-3778
Phone number: 217-528-7541
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Mailing Address
TRENTON L. WISEMAN DPT
1025 S 6TH ST
SPRINGFIELD, IL 62703-2499
Phone number: 217-528-7541
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