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1275313991
ALEXANDER M WALLIN
SYCAMORE, IL
NPI
1275313991
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 160009955)
Enumeration Date
2023-10-02
Last Update Date
2023-10-02
Business Address
Mr. ALEXANDER M WALLIN PTA
1513 DEKALB AVE
SYCAMORE, IL 60178-2703
Phone number: 630-933-1500
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Mailing Address
Mr. ALEXANDER M WALLIN PTA
1513 DEKALB AVE
SYCAMORE, IL 60178-2703
Phone number:
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