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1659471613
CHARLES THOMAS EDWARDS
PEORIA, IL
NPI
1659471613
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070013624)
Enumeration Date
2006-09-22
Last Update Date
2007-07-08
Business Address
-- CHARLES THOMAS EDWARDS PT
5401 N KNOXVILLE AVE SUITE 218
PEORIA, IL 61614-5098
Phone number: 309-693-2244
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Mailing Address
-- CHARLES THOMAS EDWARDS PT
5401 N KNOXVILLE AVE SUITE 209
PEORIA, IL 61614-5098
Phone number: 309-689-6049
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