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1265798565
ALAN KOCH
CHAMPAIGN, IL
NPI
1265798565
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070017168)
Enumeration Date
2012-04-11
Last Update Date
2016-11-29
Business Address
Mr. ALAN KOCH PT
1806 N MARKET ST
CHAMPAIGN, IL 61822-1312
Phone number: 217-356-4920
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Mailing Address
Mr. ALAN KOCH PT
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 630-296-2223
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