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1518286624
KACI MOELLER
CARBONDALE, IL
NPI
1518286624
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 160004629)
Enumeration Date
2010-05-28
Last Update Date
2010-05-28
Business Address
-- KACI MOELLER PTA
2001E CREEKWOOD
CARBONDALE, IL 62902
Phone number: 618-314-3040
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Mailing Address
-- KACI MOELLER PTA
2001 E CREEKWOOD
CARBONDALE, IL 62902
Phone number: 618-314-3040
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