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1053515502
AMBER RUTH BENSON
FREEPORT, IL
NPI
1053515502
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Former Name
AMBER RUTH WOLEVER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: IA 227004954)
Enumeration Date
2007-06-11
Last Update Date
2007-07-08
Business Address
-- AMBER RUTH BENSON LMT
206 S GALENA AVE SUITE 10
FREEPORT, IL 61032-5174
Phone number: 228-363-2812
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Mailing Address
-- AMBER RUTH BENSON LMT
4234 AUTUMN LN
FREEPORT, IL 61032-8640
Phone number: 815-232-2787
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