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1669830923
LISA HALVORSEN
PLAINFIELD, IL
NPI
1669830923
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160.006750)
Enumeration Date
2016-02-02
Last Update Date
2016-02-02
Business Address
LISA HALVORSEN
14051 S OAKDALE CIR
PLAINFIELD, IL 60544-7064
Phone number: 708-244-8004
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Mailing Address
LISA HALVORSEN
14051 S OAKDALE CIR
PLAINFIELD, IL 60544-7064
Phone number: 708-244-8004
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