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1154547198
SALLY R FANSLER
CHICAGO, IL
NPI
1154547198
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070005021)
Enumeration Date
2007-04-18
Last Update Date
2012-02-16
Business Address
Ms. SALLY R FANSLER P.T.
1320 W FULLERTON AVE
CHICAGO, IL 60614-2129
Phone number: 773-770-2419
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Mailing Address
Ms. SALLY R FANSLER P.T.
1320 W FULLERTON AVE
CHICAGO, IL 60614-2129
Phone number: 773-770-2419
Copy
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