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1124368683
CARLA JEAN VANDENBURGH
BELLEVILLE, IL
NPI
1124368683
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: IL 217.011790)
Enumeration Date
2013-02-20
Last Update Date
2013-02-20
Business Address
Ms. CARLA JEAN VANDENBURGH Massage Therapist
1600 LEBANON AVE STE 101
BELLEVILLE, IL 62221-2491
Phone number: 618-978-7407
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Mailing Address
Ms. CARLA JEAN VANDENBURGH Massage Therapist
3212 HUNTERS WAY
BELLEVILLE, IL 62221-3471
Phone number: 618-978-7407
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