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1235432568
CLINTON MATTHEW WITSMAN
MAHOMET, IL
NPI
1235432568
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070018210)
Enumeration Date
2010-12-08
Last Update Date
2016-12-16
Business Address
Dr. CLINTON MATTHEW WITSMAN DPT
1504 PATTON DR UNIT 4
MAHOMET, IL 61853-8126
Phone number: 217-590-0340
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Mailing Address
Dr. CLINTON MATTHEW WITSMAN DPT
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 630-296-2223
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