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1568437747
JONATHAN ACKLIE
PEORIA, IL
NPI
1568437747
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070011632)
Enumeration Date
2006-02-21
Last Update Date
2012-04-11
Business Address
-- JONATHAN ACKLIE PT
9901 N. KNOXVILLE AVENUE SUITE D
PEORIA, IL 61615-1433
Phone number: 309-243-1989
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Mailing Address
-- JONATHAN ACKLIE PT
850 43RD AVE SUITE 100
MOLINE, IL 61265-8401
Phone number: 309-743-2070
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