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1902146202
HEART SOURCE THERAPY
FRANKFORT, IL
NPI
1902146202
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Entity Type
Organization
Authorized Contact
GALE NIENHUIS
Owner
708-837-3319
Organization Subpart ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 149014484)
Enumeration Date
2013-02-22
Last Update Date
2013-02-22
Business Address
HEART SOURCE THERAPY
33 E COLORADO AVE
FRANKFORT, IL 60423-1385
Phone number: 708-837-3319
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Mailing Address
HEART SOURCE THERAPY
33 E COLORADO AVE
FRANKFORT, IL 60423-1385
Phone number: 708-837-3319
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