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1306132345
MOLLIE BASIC
ORLAND PARK, IL
NPI
1306132345
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Former Name
MOLLIE KIMMEL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2011-06-28
Last Update Date
2012-11-09
Business Address
-- MOLLIE BASIC DPT
15127 S LA GRANGE RD
ORLAND PARK, IL 60462-3708
Phone number: 708-403-4497
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Mailing Address
-- MOLLIE BASIC DPT
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number:
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