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1730502584
LORRI LYNN ILCHUK
OOLTEWAH, TN
NPI
1730502584
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TN 7492)
Enumeration Date
2014-01-30
Last Update Date
2014-01-30
Business Address
-- LORRI LYNN ILCHUK PT
8823 PRODUCTION LN
OOLTEWAH, TN 37363-6511
Phone number: 423-238-7217
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Mailing Address
-- LORRI LYNN ILCHUK PT
8823 PRODUCTION LN
OOLTEWAH, TN 37363-6511
Phone number: 423-238-7217
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