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1942458351
DON EUGENE SPRAGUE
DECATUR, IL
NPI
1942458351
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160002163)
Enumeration Date
2008-08-28
Last Update Date
2008-08-28
Business Address
Mr. DON EUGENE SPRAGUE pta
1790 S FAIRVIEW AVE
DECATUR, IL 62521-4010
Phone number: 217-429-2551
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Mailing Address
Mr. DON EUGENE SPRAGUE pta
1790 S FAIRVIEW AVE
DECATUR, IL 62521-4010
Phone number: 217-429-2551
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