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1992259949
MICHAEL LANE
WASHINGTON, IL
NPI
1992259949
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2016-08-08
Last Update Date
2016-08-08
Business Address
-- MICHAEL LANE DPT
1201 N CUMMINGS LN
WASHINGTON, IL 61571-9267
Phone number: 309-886-2305
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Mailing Address
-- MICHAEL LANE DPT
1201 N CUMMINGS LN
WASHINGTON, IL 61571-9267
Phone number: 309-886-2305
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