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1326212382
MELISSA MARIE WHITE
PEORIA, IL
NPI
1326212382
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070.014100)
Enumeration Date
2008-04-21
Last Update Date
2012-10-02
Business Address
-- MELISSA MARIE WHITE PT
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-624-8575
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Mailing Address
-- MELISSA MARIE WHITE PT
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-624-8575
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