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1114410206
CODY B DOERFLEIN
CARBONDALE, IL
NPI
1114410206
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070024815)
Enumeration Date
2018-06-13
Last Update Date
2020-11-09
Business Address
CODY B DOERFLEIN
214 W FREEMAN ST
CARBONDALE, IL 62901-2809
Phone number: 812-491-1307
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Mailing Address
CODY B DOERFLEIN
PO BOX 3276
EVANSVILLE, IN 47731-3276
Phone number: 812-473-0181
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