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1093020521
MELANIE M KOZAK
GRANITE CITY, IL
NPI
1093020521
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070018015)
Enumeration Date
2010-08-09
Last Update Date
2012-12-28
Business Address
-- MELANIE M KOZAK PT, DPT
2100 MADISON AVE
GRANITE CITY, IL 62040-4701
Phone number: 618-798-3135
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Mailing Address
-- MELANIE M KOZAK PT, DPT
1785 AMBROSE TERRACE DR
SWANSEA, IL 62226-7375
Phone number: 618-401-8590
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