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1184192643
LUANN BAUER
CRYSTAL LAKE, IL
NPI
1184192643
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
305S00000X Point of Service
(Licence: IL 20-1975060)
Enumeration Date
2018-11-02
Last Update Date
2018-11-02
Business Address
LUANN BAUER
63 N WILLIAMS ST
CRYSTAL LAKE, IL 60014-4443
Phone number: 815-356-9900
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Mailing Address
LUANN BAUER
63 N WILLIAMS ST
CRYSTAL LAKE, IL 60014-4443
Phone number: 815-356-9900
Copy
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