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1649715871
LISA THOMPSON
SHELBYVILLE, IL
NPI
1649715871
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160.007630)
Enumeration Date
2016-12-26
Last Update Date
2016-12-26
Business Address
-- LISA THOMPSON
1111 W NORTH 12TH ST
SHELBYVILLE, IL 62565-9554
Phone number: 217-774-2111
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Mailing Address
-- LISA THOMPSON
4560 SE INTERNATIONAL WAY STE 100
MILWAUKIE, OR 97222-4628
Phone number: 971-206-5202
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