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1225388150
TIFFANEY LEORA DAY
CHAMPAIGN, IL
NPI
1225388150
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2012-09-18
Last Update Date
2012-09-18
Business Address
Miss TIFFANEY LEORA DAY RSA
401 W SPRINGFIELD AVE
CHAMPAIGN, IL 61820-4716
Phone number: 217-398-8464
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Mailing Address
Miss TIFFANEY LEORA DAY RSA
1711 AIRPORT RD
URBANA, IL 61802-7522
Phone number: 217-418-0208
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