TANJA LUTMAN

BLOOMINGTON, IL
NPI1023425915
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy314000000X Skilled Nursing Facility
(Licence: IL  056004223)
Enumeration Date2014-07-13
Last Update Date2014-07-13
Business Address
-- TANJA LUTMAN
1207 DOVER RD
BLOOMINGTON, IL 61704-7608
Phone number: 309-242-7567
Mailing Address
-- TANJA LUTMAN
1207 DOVER RD
BLOOMINGTON, IL 61704-7608
Phone number: 309-242-7567
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