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1467549493
MARK BRYAN
FREEPORT, IL
NPI
1467549493
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070012062)
Enumeration Date
2006-10-10
Last Update Date
2007-07-08
Business Address
-- MARK BRYAN PT
1763 S DIRCK DR
FREEPORT, IL 61032-6707
Phone number: 815-233-5100
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Mailing Address
-- MARK BRYAN PT
421 PLEASANT ST
ELIZABETH, IL 61028
Phone number: 815-858-9625
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