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1245594878
DARLA RENEE WININGS
DECATUR, IL
NPI
1245594878
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160.003506)
Enumeration Date
2012-06-28
Last Update Date
2012-08-09
Business Address
-- DARLA RENEE WININGS PTA
2300 N EDWARD ST
DECATUR, IL 62526-4163
Phone number: 217-876-2600
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Mailing Address
-- DARLA RENEE WININGS PTA
600 W RAYMOND ST
SULLIVAN, IL 61951-1830
Phone number: 217-728-2943
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