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1144066747
KATHERINE MAE SHADID
PEORIA, IL
NPI
1144066747
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IL 019.035294)
Enumeration Date
2024-07-02
Last Update Date
2024-07-02
Business Address
Dr. KATHERINE MAE SHADID DMD
843 W GLEN AVE
PEORIA, IL 61614-4834
Phone number: 309-691-9421
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Mailing Address
Dr. KATHERINE MAE SHADID DMD
11120 N BROOKHAVEN CT
PEORIA, IL 61615-1009
Phone number:
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