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1316438963
CHELSEA RENAE STORM
SHELBYVILLE, IL
NPI
1316438963
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160.007889)
Enumeration Date
2018-05-18
Last Update Date
2018-05-18
Business Address
CHELSEA RENAE STORM
1111 W NORTH 12TH ST
SHELBYVILLE, IL 62565-9554
Phone number: 217-774-2111
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Mailing Address
CHELSEA RENAE STORM
2044 N US HIGHWAY 45
MASON, IL 62443-2903
Phone number: 217-690-3537
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