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1376784967
RICHARD DEIBEL
CRYSTAL LAKE, IL
NPI
1376784967
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070.005347)
Enumeration Date
2009-03-12
Last Update Date
2009-03-12
Business Address
-- RICHARD DEIBEL PT
540 E TERRA COTTA AVE SUITE G
CRYSTAL LAKE, IL 60014-3652
Phone number: 815-477-8004
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Mailing Address
-- RICHARD DEIBEL PT
243 MIDLANE DRIVE
CRYSTAL LAKE, IL 60012
Phone number:
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