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1851875439
PHILLIP G STATLER
LOVES PARK, IL
NPI
1851875439
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: IL 227.019355)
Enumeration Date
2018-09-20
Last Update Date
2018-09-20
Business Address
PHILLIP G STATLER LMT
1752 WINDSOR RD
LOVES PARK, IL 61111-4280
Phone number: 815-977-3747
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Mailing Address
PHILLIP G STATLER LMT
10206 LEANA DR
ROSCOE, IL 61073-6412
Phone number: 815-979-5893
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