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1558962076
TEVIN BURKS
BELLEVILLE, IL
NPI
1558962076
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2251G0304X Physical Therapist, Geriatrics
(Licence: IL 070024075)
Enumeration Date
2020-11-02
Last Update Date
2020-11-02
Business Address
TEVIN BURKS PT,DPT
1021 W E ST
BELLEVILLE, IL 62220-1055
Phone number: 618-233-2095
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Mailing Address
TEVIN BURKS PT,DPT
809 FOXGROVE DR
FAIRVIEW HEIGHTS, IL 62208-2095
Phone number: 901-907-5384
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