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1902810310
VICKI L LEE
PEORIA, IL
NPI
1902810310
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070-002953)
Enumeration Date
2006-07-28
Last Update Date
2007-07-08
Business Address
-- VICKI L LEE P.T.
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-655-6961
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Mailing Address
-- VICKI L LEE P.T.
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-655-2000
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