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1760530224
ROBERT GOUGH LANDES
CARBONDALE, IL
NPI
1760530224
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070.011100)
Enumeration Date
2007-01-08
Last Update Date
2007-07-08
Business Address
Mr. ROBERT GOUGH LANDES P.T.
200 N EMERALD LN SUITE 1A
CARBONDALE, IL 62901-2100
Phone number: 618-549-9449
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Mailing Address
Mr. ROBERT GOUGH LANDES P.T.
1501 MATTHEW LN
MARION, IL 62959-3738
Phone number: 618-993-8223
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