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1598230948
BRIANNA FULLENKAMP
PEORIA, IL
NPI
1598230948
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070023007)
Enumeration Date
2018-10-11
Last Update Date
2019-05-08
Business Address
Dr. BRIANNA FULLENKAMP PT, DPT
6809 N KNOXVILLE AVE
PEORIA, IL 61614-2812
Phone number: 309-981-8810
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Mailing Address
Dr. BRIANNA FULLENKAMP PT, DPT
5716 W OVERLAND PASS
PEORIA, IL 61607-1110
Phone number: 309-678-5610
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