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1598424475
COURTNEY FENOGLIO
HERRIN, IL
NPI
1598424475
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Former Name
COURTNEY CRICK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160.004590)
Enumeration Date
2021-12-08
Last Update Date
2021-12-08
Business Address
COURTNEY FENOGLIO LPTA
1901 N 13TH ST
HERRIN, IL 62948-2839
Phone number: 618-942-7391
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Mailing Address
COURTNEY FENOGLIO LPTA
1901 N 13TH ST
HERRIN, IL 62948-2839
Phone number:
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