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1558501106
BRIAN STANISZEWSKI
PEORIA, IL
NPI
1558501106
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070.013318)
Enumeration Date
2009-02-23
Last Update Date
2009-02-23
Business Address
-- BRIAN STANISZEWSKI P.T.
303 N WILLIAM KUMPF BLVD
PEORIA, IL 61605-2507
Phone number: 309-676-5546
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Mailing Address
-- BRIAN STANISZEWSKI P.T.
303 N WILLIAM KUMPF BLVD
PEORIA, IL 61605-2507
Phone number: 309-676-5546
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