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1194937516
CHRISTINE M GUSTAFSON
ROCKFORD, IL
NPI
1194937516
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070003815)
Enumeration Date
2007-05-06
Last Update Date
2008-08-01
Business Address
Mrs. CHRISTINE M GUSTAFSON PT
3616 N MAIN ST
ROCKFORD, IL 61103-2159
Phone number: 815-877-5932
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Mailing Address
Mrs. CHRISTINE M GUSTAFSON PT
10808 N MAIN ST
ROCKTON, IL 61072-9456
Phone number: 815-624-2816
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