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1720367063
AMBER NICOLE KINGERY MASTERS
PEORIA, IL
NPI
1720367063
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
Enumeration Date
2011-08-04
Last Update Date
2011-08-04
Business Address
-- AMBER NICOLE KINGERY MASTERS PTA
1315 N BOURLAND AVE
PEORIA, IL 61606-1214
Phone number: 309-258-2040
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Mailing Address
-- AMBER NICOLE KINGERY MASTERS PTA
6501 N SHERIDAN RD
PEORIA, IL 61614-2932
Phone number:
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