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1952445942
VIRGINIA S BOUSE
BELLEVILLE, IL
NPI
1952445942
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 07005126)
Enumeration Date
2007-02-16
Last Update Date
2007-07-08
Business Address
-- VIRGINIA S BOUSE P. T.
2810 FRANK SCOTT PKWY W SUITE 824
BELLEVILLE, IL 62223-5007
Phone number: 618-234-9705
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Mailing Address
-- VIRGINIA S BOUSE P. T.
2810 FRANK SCOTT PKWY W SUITE 824
BELLEVILLE, IL 62223-5007
Phone number: 618-234-9705
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