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1427541176
KELLY FRAKE
ROCKFORD, IL
NPI
1427541176
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070.013995)
Enumeration Date
2018-06-07
Last Update Date
2018-06-07
Business Address
KELLY FRAKE PT
209 9TH ST STE 101
ROCKFORD, IL 61104-2235
Phone number: 779-696-4590
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Mailing Address
KELLY FRAKE PT
1401 E STATE ST
ROCKFORD, IL 61104-2315
Phone number: 779-696-4590
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