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1891046249
ANNA ELAINE CONSOLACION
ROCKFORD, IL
NPI
1891046249
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070018857)
Enumeration Date
2012-09-25
Last Update Date
2012-09-25
Business Address
Ms. ANNA ELAINE CONSOLACION RPT
101 N ALPINE RD
ROCKFORD, IL 61107-4901
Phone number: 779-423-1700
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Mailing Address
Ms. ANNA ELAINE CONSOLACION RPT
3009 ROBERTS DR
WOODRIDGE, IL 60517-1519
Phone number: 407-967-8065
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