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1922385731
KATELIN FANE
BOURBONNAIS, IL
NPI
1922385731
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: KY 005883)
Enumeration Date
2011-11-08
Last Update Date
2016-09-13
Business Address
-- KATELIN FANE PT
1275 N. COVENT STREET SUITE 3
BOURBONNAIS, IL 60914-8210
Phone number: 815-936-1855
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Mailing Address
-- KATELIN FANE PT
517 E NORTH ST
BRADLEY, IL 60915-1258
Phone number: 630-296-2223
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