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1922363860
LINDSAY JOY BANNING
DECATUR, IL
NPI
1922363860
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160.005404)
Enumeration Date
2012-07-06
Last Update Date
2012-07-06
Business Address
MISS LINDSAY JOY BANNING PTA
2300 N EDWARD ST
DECATUR, IL 62526-4163
Phone number: 217-876-2600
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Mailing Address
MISS LINDSAY JOY BANNING PTA
2300 N EDWARD ST
DECATUR, IL 62526-4163
Phone number: 217-876-2600
Copy
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