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1417305020
JACOB GARTNER
ROCKFORD, IL
NPI
1417305020
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070022421)
Enumeration Date
2016-05-25
Last Update Date
2020-09-24
Business Address
JACOB GARTNER DPT
2902 MCFARLAND RD STE 200
ROCKFORD, IL 61107-6801
Phone number: 815-316-6839
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Mailing Address
JACOB GARTNER DPT
2902 MCFARLAND RD STE 300
ROCKFORD, IL 61107-6801
Phone number: 815-316-2100
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