ZACHARY MEDEMA

O FALLON, IL
NPI1124343181
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
Enumeration Date2010-04-02
Last Update Date2010-04-02
Business Address
-- ZACHARY MEDEMA M.S.
634 N MAIN ST STE 3
O FALLON, IL 62269-3733
Phone number: 618-632-4222
Mailing Address
-- ZACHARY MEDEMA M.S.
408 HARVARD DR APT C
EDWARDSVILLE, IL 62025-2681
Phone number:
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