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1013009083
MARY LOU BEACH
BLOOMINGTON, IL
NPI
1013009083
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
111NS0005X Chiropractor, Sports Physician
(Licence: IL 038-005425)
Enumeration Date
2006-09-28
Last Update Date
2011-09-28
Business Address
Dr. MARY LOU BEACH D.C., C.C.S.P.
409 E FRONT ST
BLOOMINGTON, IL 61701-5309
Phone number: 309-828-3415
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Mailing Address
Dr. MARY LOU BEACH D.C., C.C.S.P.
409 E FRONT ST
BLOOMINGTON, IL 61701-5309
Phone number: 309-828-3415
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