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1114441516
KATE PRUIS
PEORIA, IL
NPI
1114441516
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070.016677)
Enumeration Date
2017-07-28
Last Update Date
2017-07-28
Business Address
KATE PRUIS
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-655-2381
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Mailing Address
KATE PRUIS
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-655-2381
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