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1477210169
LOUIS HOLLINGSWORTH
GRANITE CITY, IL
NPI
1477210169
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160005292)
Enumeration Date
2021-11-17
Last Update Date
2021-11-17
Business Address
LOUIS HOLLINGSWORTH
2124 EDISON AVE
GRANITE CITY, IL 62040-4717
Phone number: 636-856-4192
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Mailing Address
LOUIS HOLLINGSWORTH
2124 EDISON AVE
GRANITE CITY, IL 62040-4717
Phone number: 636-856-4192
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