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1477687788
LYNN P GORSUCH
PEORIA, IL
NPI
1477687788
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160-000702)
Enumeration Date
2007-03-16
Last Update Date
2007-07-08
Business Address
-- LYNN P GORSUCH Physical Therapist
507 E ARMSTRONG AVE
PEORIA, IL 61603-3201
Phone number: 309-686-1177
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Mailing Address
-- LYNN P GORSUCH Physical Therapist
806 PARK TRAIL RD
MACKINAW, IL 61755
Phone number: 309-359-8361
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