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1215063193
MARY ANN BREAULT
LOVES PARK, IL
NPI
1215063193
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070009033)
Enumeration Date
2007-02-26
Last Update Date
2007-07-08
Business Address
-- MARY ANN BREAULT LPT
1941 HARLEM RD
LOVES PARK, IL 61111-2747
Phone number: 815-986-4411
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Mailing Address
-- MARY ANN BREAULT LPT
1941 HARLEM RD
LOVES PARK, IL 61111-2747
Phone number: 815-986-4411
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