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1932462173
SHIRLEY CANDELARIA
DECATUR, IL
NPI
1932462173
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070.011535)
Enumeration Date
2012-06-22
Last Update Date
2012-06-22
Business Address
Mrs. SHIRLEY CANDELARIA
1800 E LAKE SHORE DR
DECATUR, IL 62521-3810
Phone number: 217-464-2981
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Mailing Address
Mrs. SHIRLEY CANDELARIA
765 PHILLIP CIR
FORSYTH, IL 62535-9755
Phone number:
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