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1225202211
AMY LOU BOONE
PEORIA, IL
NPI
1225202211
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160.000864)
Enumeration Date
2008-04-21
Last Update Date
2008-04-21
Business Address
-- AMY LOU BOONE pta
6501 N SHERIDAN RD
PEORIA, IL 61614-2932
Phone number: 309-692-8110
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Mailing Address
-- AMY LOU BOONE pta
6501 N SHERIDAN RD
PEORIA, IL 61614-2932
Phone number:
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