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1396084653
KRISTEN LYN WADE
DECATUR, IL
NPI
1396084653
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070015410)
Enumeration Date
2013-02-06
Last Update Date
2024-09-11
Business Address
Dr. KRISTEN LYN WADE P.T.
535 W ELDORADO ST
DECATUR, IL 62522-2117
Phone number: 217-528-7541
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Mailing Address
Dr. KRISTEN LYN WADE P.T.
PO BOX 19248
SPRINGFIELD, IL 62794-9248
Phone number: 217-528-7541
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