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1063570935
DONALD CLAY COURTIAL
BELLEVILLE, IL
NPI
1063570935
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070000708)
Enumeration Date
2006-12-04
Last Update Date
2007-07-08
Business Address
Mr. DONALD CLAY COURTIAL PT
REHABILITATION SERVICES MOMORIAL HOSPITAL 4500 MEMORIAL DRIVE
BELLEVILLE, IL 62226-5360
Phone number: 618-257-5254
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Mailing Address
Mr. DONALD CLAY COURTIAL PT
9 OAK KNOLL PLACE
BELLEVILLE, IL 62223-1817
Phone number: 618-398-0188
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