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1457602849
GRANT R. SWANSON
GALESBURG, IL
NPI
1457602849
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070-019510)
Enumeration Date
2012-09-25
Last Update Date
2012-09-25
Business Address
-- GRANT R. SWANSON DPT
765 N KELLOGG ST 3RD FLOOR
GALESBURG, IL 61401-2875
Phone number: 309-343-3434
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Mailing Address
-- GRANT R. SWANSON DPT
135 N WILLIAMSBURG DR
BLOOMINGTON, IL 61704-3528
Phone number: 309-661-8823
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