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1245544352
LORA D MOCK
CHAMPAIGN, IL
NPI
1245544352
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070.006096)
Enumeration Date
2010-07-30
Last Update Date
2010-07-30
Business Address
-- LORA D MOCK PT
910 BIRKDALE DR
CHAMPAIGN, IL 61822-8114
Phone number: 217-352-6536
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Mailing Address
-- LORA D MOCK PT
910 BIRKDALE DR
CHAMPAIGN, IL 61822-8114
Phone number: 217-352-6536
Copy
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