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1831134808
MARK LEROY GERBERDING
SPRINGFIELD, IL
NPI
1831134808
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 70003579)
Enumeration Date
2006-06-16
Last Update Date
2007-07-08
Business Address
Mr. MARK LEROY GERBERDING PT
1200 W JEFFERSON ST SUITE D
SPRINGFIELD, IL 62702-3694
Phone number: 217-726-8502
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Mailing Address
Mr. MARK LEROY GERBERDING PT
1200 W JEFFERSON ST SUITE D
SPRINGFIELD, IL 62702-3694
Phone number: 217-726-8502
Copy
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