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1902551948
TRENT LOGAN THOMPSON
CARBONDALE, IL
NPI
1902551948
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070026451)
Enumeration Date
2022-02-17
Last Update Date
2022-02-17
Business Address
TRENT LOGAN THOMPSON DPT
2950 W WESTRIDGE PL
CARBONDALE, IL 62901-1092
Phone number: 618-457-1010
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Mailing Address
TRENT LOGAN THOMPSON DPT
110 WEISBROOK LN
CARTERVILLE, IL 62918-2319
Phone number: 618-384-1319
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