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1417320730
AUTUMN SWANSEN
DECATUR, IL
NPI
1417320730
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070020332)
Enumeration Date
2015-11-09
Last Update Date
2019-05-20
Business Address
AUTUMN SWANSEN
3004 N WATER ST STE C
DECATUR, IL 62526-1960
Phone number: 217-233-0030
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Mailing Address
AUTUMN SWANSEN
600 OAKMONT LN STE 600C
WESTMONT, IL 60559-5548
Phone number: 630-575-6250
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