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1639175086
ERIC L WESSEL
MARYVILLE, IL
NPI
1639175086
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070012251)
Enumeration Date
2005-06-21
Last Update Date
2007-09-04
Business Address
-- ERIC L WESSEL PT
2136 VADALABENE DR
MARYVILLE, IL 62062-5632
Phone number: 618-288-4677
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Mailing Address
-- ERIC L WESSEL PT
15 APEX DR
HIGHLAND, IL 62249-1282
Phone number: 618-651-0444
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