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1235222779
KENDRA SUE SMITH
MARION, IL
NPI
1235222779
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070.013723)
Enumeration Date
2006-10-02
Last Update Date
2008-07-11
Business Address
Mrs. KENDRA SUE SMITH MPT
3905 W ERNESTINE DR SUITE B
MARION, IL 62959-5800
Phone number: 618-993-6237
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Mailing Address
Mrs. KENDRA SUE SMITH MPT
204 NORTH 12TH STREET
HERRIN, IL 62948
Phone number: 618-988-1184
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