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Individual

MICHAEL JAMES KIRCHGESNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
3331 SHERIDAN ST, SPRINGFIELD, IL 62703-4943
(217) 652-0462
Mailing address
3331 SHERIDAN ST, SPRINGFIELD, IL 62703-4943
(217) 331-6919

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227016157
IL

Other

Enumeration date
07/16/2021
Last updated
07/16/2021
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