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1780091462
LINDA SUE IRISH
LINCOLN, IL
NPI
1780091462
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160001927)
Enumeration Date
2014-07-15
Last Update Date
2014-07-15
Business Address
-- LINDA SUE IRISH P.T.A.
200 5TH ST
LINCOLN, IL 62656-2619
Phone number: 309-267-9315
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Mailing Address
-- LINDA SUE IRISH P.T.A.
500 5TH ST
LINCOLN, IL 62656-2519
Phone number: 309-267-9315
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