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1447301643
JULIE LEIDECKER
BOURBONNAIS, IL
NPI
1447301643
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070.005860)
Enumeration Date
2007-01-15
Last Update Date
2007-07-08
Business Address
-- JULIE LEIDECKER PT
586 WILLIAM R LATHAM SR DR STE 6B
BOURBONNAIS, IL 60914-2338
Phone number: 815-935-0540
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Mailing Address
-- JULIE LEIDECKER PT
586 WILLIAM R LATHAM SR DR STE 6B
BOURBONNAIS, IL 60914-2338
Phone number: 815-935-0540
Copy
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