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1609039312
MICHELLE STANDARD
GALESBURG, IL
NPI
1609039312
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070.011670)
Enumeration Date
2008-07-03
Last Update Date
2008-07-03
Business Address
-- MICHELLE STANDARD PT
872 W DAYTON ST
GALESBURG, IL 61401-1503
Phone number: 309-344-3400
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Mailing Address
-- MICHELLE STANDARD PT
872 W DAYTON ST
GALESBURG, IL 61401-1503
Phone number: 309-344-3400
Copy
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