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1659732394
LORESA LATHAM
MOLINE, IL
NPI
1659732394
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160.003895)
Enumeration Date
2016-03-08
Last Update Date
2016-03-08
Business Address
Mrs. LORESA LATHAM
221 11TH AVE
MOLINE, IL 61265-1498
Phone number: 309-757-7744
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Mailing Address
Mrs. LORESA LATHAM
221 11TH AVE
MOLINE, IL 61265-1498
Phone number: 309-757-7744
Copy
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