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1659989622
ELISSA GUMIRAN LAYSON
MURPHYSBORO, IL
NPI
1659989622
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070.023339)
Enumeration Date
2020-07-16
Last Update Date
2020-07-16
Business Address
ELISSA GUMIRAN LAYSON
6 E SHAWNEE DR
MURPHYSBORO, IL 62966-7048
Phone number: 618-684-8018
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Mailing Address
ELISSA GUMIRAN LAYSON
6 E SHAWNEE DR
MURPHYSBORO, IL 62966-7048
Phone number: 618-684-8018
Copy
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