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1609103787
KATIE E. ALLEN-WACKER
MARENGO, IL
NPI
1609103787
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160005283)
Enumeration Date
2009-11-10
Last Update Date
2009-11-10
Business Address
MRS. KATIE E. ALLEN-WACKER PTA
212 LINDOW LANE SUITE M
MARENGO, IL 60152
Phone number: 815-568-8878
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Mailing Address
MRS. KATIE E. ALLEN-WACKER PTA
PO BOX 1534
BELVIDERE, IL 61008-1705
Phone number: 815-568-8878
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