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1184490872
BLACK WILLOW HOLISTIC CENTER LLC
SALEM, IL
NPI
1184490872
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Entity Type
Organization
Authorized Contact
CANDICE ULLERY
Owner
618-292-8518
Organization Subpart ?
No
Primary Taxonomy
374K00000X
Enumeration Date
2023-12-04
Last Update Date
2023-12-12
Business Address
BLACK WILLOW HOLISTIC CENTER LLC
301 OGLESBY ST
SALEM, IL 62881-2724
Phone number: 618-292-8518
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Mailing Address
BLACK WILLOW HOLISTIC CENTER LLC
301 OGLESBY ST
SALEM, IL 62881-2724
Phone number: 618-292-8518
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