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1104862754
SUSAN SLOCUM BLAIR
SHOREWOOD, IL
NPI
1104862754
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2251P0200X Physical Therapist, Pediatrics
(Licence: IL 070010076)
Enumeration Date
2006-06-21
Last Update Date
2007-07-08
Business Address
-- SUSAN SLOCUM BLAIR PT
857 CENTER CT
SHOREWOOD, IL 60431-8520
Phone number: 815-730-1818
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Mailing Address
-- SUSAN SLOCUM BLAIR PT
1207 THACKERY CT
NAPERVILLE, IL 60564-3175
Phone number: 630-904-8152
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