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1801296520
ALYSE B CLARK
PEORIA, IL
NPI
1801296520
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070020923)
Enumeration Date
2014-08-29
Last Update Date
2019-12-31
Business Address
ALYSE B CLARK PT
6000 N ALLEN RD
PEORIA, IL 61614-3294
Phone number: 309-691-1400
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Mailing Address
ALYSE B CLARK PT
6000 N ALLEN RD
PEORIA, IL 61614-3294
Phone number: 309-691-1400
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