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1902357254
MICHELLE STOECKER
PEORIA, IL
NPI
1902357254
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Former Name
MICHELLE DITMARS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070022602)
Enumeration Date
2016-10-21
Last Update Date
2016-10-21
Business Address
-- MICHELLE STOECKER DPT
2338 W VAN WINKLE WAY
PEORIA, IL 61615-7483
Phone number: 309-693-9189
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Mailing Address
-- MICHELLE STOECKER DPT
112 NE MADISON AVE
PEORIA, IL 61602-1109
Phone number: 309-674-7874
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