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1124530282
SUSAN MICHELE RAY
CHAMPAIGN, IL
NPI
1124530282
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: IL 227016138)
Enumeration Date
2017-10-30
Last Update Date
2017-10-30
Business Address
SUSAN MICHELE RAY LMT
2106 W SPRINGFIELD AVE STE E
CHAMPAIGN, IL 61821-2979
Phone number: 217-819-2155
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Mailing Address
SUSAN MICHELE RAY LMT
2106 W SPRINGFIELD AVE STE E
CHAMPAIGN, IL 61821-2979
Phone number: 217-819-2155
Copy
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