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1093062259
GREGORY L LAWSON
DECATUR, IL
NPI
1093062259
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160.003820)
Enumeration Date
2012-08-07
Last Update Date
2012-08-07
Business Address
-- GREGORY L LAWSON PTA
3122 BRETTWOOD CIR
DECATUR, IL 62526-2425
Phone number: 217-876-4600
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Mailing Address
-- GREGORY L LAWSON PTA
3122 BRETTWOOD CIR
DECATUR, IL 62526-2425
Phone number:
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