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1184979056
TIMOTHY SHARP
OSWEGO, IL
NPI
1184979056
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070013913)
Enumeration Date
2012-07-17
Last Update Date
2014-07-31
Business Address
-- TIMOTHY SHARP
4511 ROUTE 71
OSWEGO, IL 60543-7416
Phone number: 630-554-7815
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Mailing Address
-- TIMOTHY SHARP
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number:
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