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1962111914
AMY WISDOM
LISLE, IL
NPI
1962111914
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160.006246)
Enumeration Date
2022-11-18
Last Update Date
2022-11-18
Business Address
AMY WISDOM
1800 ROBIN LN
LISLE, IL 60532-2086
Phone number: 630-353-5508
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Mailing Address
AMY WISDOM
117 GRANT AVE
GENEVA, IL 60134-1919
Phone number:
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