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1255686309
NANCY AINSWORTH GORDEN
DECATUR, IL
NPI
1255686309
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160000669)
Enumeration Date
2012-07-16
Last Update Date
2012-07-16
Business Address
Mrs. NANCY AINSWORTH GORDEN P.T.A.
2300 N EDWARD ST
DECATUR, IL 62526-9986
Phone number: 217-876-2690
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Mailing Address
Mrs. NANCY AINSWORTH GORDEN P.T.A.
2300 N EDWARD ST
DECATUR, IL 62526-9986
Phone number: 217-876-2690
Copy
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