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1730742768
MELISSA M HEINOLD
PEORIA, IL
NPI
1730742768
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160006260)
Enumeration Date
2019-04-16
Last Update Date
2019-12-31
Business Address
MELISSA M HEINOLD PTA
6000 N ALLEN RD
PEORIA, IL 61614-3294
Phone number: 309-691-1400
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Mailing Address
MELISSA M HEINOLD PTA
6000 N ALLEN RD
PEORIA, IL 61614-3294
Phone number: 309-691-1400
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