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1164857785
SARAH FULLER
PEORIA, IL
NPI
1164857785
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070020259)
Enumeration Date
2013-09-13
Last Update Date
2013-09-13
Business Address
-- SARAH FULLER P,T,
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-683-8170
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Mailing Address
-- SARAH FULLER P,T,
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-683-8170
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