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1104072875
WENDY SUE GOETZ
PEORIA, IL
NPI
1104072875
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
(Licence: IL 227-009215)
Enumeration Date
2008-08-13
Last Update Date
2008-08-13
Business Address
Ms. WENDY SUE GOETZ LMT
4809 N SHERIDAN RD
PEORIA, IL 61614-5927
Phone number: 309-645-4028
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Mailing Address
Ms. WENDY SUE GOETZ LMT
4809 N SHERIDAN RD
PEORIA, IL 61614-5927
Phone number: 309-645-4028
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