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1487116901
SHANTELL ELIZABETH LODWICK
HERRIN, IL
NPI
1487116901
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
Enumeration Date
2019-04-03
Last Update Date
2019-04-03
Business Address
Mrs. SHANTELL ELIZABETH LODWICK PTA
201 S 14TH ST
HERRIN, IL 62948-3631
Phone number: 618-942-2171
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Mailing Address
Mrs. SHANTELL ELIZABETH LODWICK PTA
201 S 14TH ST
HERRIN, IL 62948-3631
Phone number: 618-942-2171
Copy
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