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1033514005
KATHRYN LEIGH WAITS
PEORIA, IL
NPI
1033514005
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Former Name
KATHRYN LEIGH WALTERS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: IL 227014994)
Enumeration Date
2014-11-03
Last Update Date
2014-11-03
Business Address
-- KATHRYN LEIGH WAITS LMT
2208 W WILLOW KNOLLS RD
PEORIA, IL 61614-1467
Phone number: 309-693-9600
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Mailing Address
-- KATHRYN LEIGH WAITS LMT
2208 W WILLOW KNOLLS RD
PEORIA, IL 61614-1467
Phone number: 309-693-9600
Copy
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