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1265629307
KRISTIN WAGNER
NEW LENOX, IL
NPI
1265629307
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Other Name
KRISTIN SWIDERGAL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070011465)
Enumeration Date
2007-10-03
Last Update Date
2024-06-18
Business Address
KRISTIN WAGNER PT
806 LARAWAY RD 808
NEW LENOX, IL 60451-2694
Phone number: 815-462-8416
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Mailing Address
KRISTIN WAGNER PT
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 630-296-2223
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