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1710010848
MICHAEL J MERCURIO
BELLEVILLE, IL
NPI
1710010848
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070001651)
Enumeration Date
2007-03-14
Last Update Date
2012-02-06
Business Address
-- MICHAEL J MERCURIO PT
2810 FRANK SCOTT PKWY W SUITE 824
BELLEVILLE, IL 62223-5007
Phone number: 618-234-9705
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Mailing Address
-- MICHAEL J MERCURIO PT
2810 FRANK SCOTT PKWY W SUITE 824
BELLEVILLE, IL 62223-5007
Phone number: 618-234-9705
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