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1376558734
KATY IRENE ENLOE
PEORIA, IL
NPI
1376558734
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Former Name
KATY IRENE BEWLEY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070-013748)
Enumeration Date
2006-07-31
Last Update Date
2009-07-13
Business Address
-- KATY IRENE ENLOE P.T.
100 NE RANDOLPH AVE
PEORIA, IL 61606-1919
Phone number: 309-624-8575
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Mailing Address
-- KATY IRENE ENLOE P.T.
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-655-2000
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