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1790372977
LAUREN ELIZABETH WAGEHOFT
PEORIA, IL
NPI
1790372977
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070.025522)
Enumeration Date
2020-12-22
Last Update Date
2020-12-22
Business Address
LAUREN ELIZABETH WAGEHOFT PT, DPT
7301 N KNOXVILLE AVE
PEORIA, IL 61614-2017
Phone number: 309-589-8053
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Mailing Address
LAUREN ELIZABETH WAGEHOFT PT, DPT
7301 N KNOXVILLE AVE
PEORIA, IL 61614-2017
Phone number: 309-589-8053
Copy
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