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1932870581
HOLLY RUDOLPH
HERRIN, IL
NPI
1932870581
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160007391)
Enumeration Date
2021-09-23
Last Update Date
2021-09-29
Business Address
HOLLY RUDOLPH
1900 N PARK AVE
HERRIN, IL 62948-2742
Phone number: 618-942-2525
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Mailing Address
HOLLY RUDOLPH
8210 TUNNEL HILL RD
GOREVILLE, IL 62939-2818
Phone number:
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