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1841440575
TERRI EILEEN GUSTAFSON
SPRINGFIELD, IL
NPI
1841440575
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070.006793)
Enumeration Date
2008-09-30
Last Update Date
2020-05-22
Business Address
Mrs. TERRI EILEEN GUSTAFSON P.T.
3020 S 6TH ST
SPRINGFIELD, IL 62703-5915
Phone number: 217-528-7541
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Mailing Address
Mrs. TERRI EILEEN GUSTAFSON P.T.
1025 S 6TH ST
SPRINGFIELD, IL 62703-2403
Phone number: 217-528-7541
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