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1063814309
LAKSHMI KALYANI GUDAVALLI
GALESBURG, IL
NPI
1063814309
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: IL 070020357)
Enumeration Date
2014-09-18
Last Update Date
2014-09-18
Business Address
-- LAKSHMI KALYANI GUDAVALLI PT
275 E CARL SANDBURG DRIVE MARIGOLD REHABILITATION
GALESBURG, IL 61401
Phone number: 309-344-1151
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Mailing Address
-- LAKSHMI KALYANI GUDAVALLI PT
2834 VILLA CT
BETTENDORF, IA 52722-7554
Phone number: 563-639-2486
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