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1760150593
KYLA CRYSTAL FERRAREN
CHAMPAIGN, IL
NPI
1760150593
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070.026112)
Enumeration Date
2021-09-07
Last Update Date
2021-09-07
Business Address
KYLA CRYSTAL FERRAREN DPT
1806 N MARKET ST
CHAMPAIGN, IL 61822-1312
Phone number: 217-356-4920
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Mailing Address
KYLA CRYSTAL FERRAREN DPT
11331 S HIGHLAND DR
PLAINFIELD, IL 60585-1961
Phone number: 815-325-0936
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