REBBECCA ANN GWALTNEY

JACKSONVILLE, IL
NPI1235499120
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy247200000X Technician, Other
(Licence: IL  057.002498)
Enumeration Date2012-05-24
Last Update Date2012-05-24
Business Address
Mrs. REBBECCA ANN GWALTNEY COTA/L
2352 STATE HIGHWAY 78 N
JACKSONVILLE, IL 62650-6227
Phone number: 217-473-5913
Mailing Address
Mrs. REBBECCA ANN GWALTNEY COTA/L
2352 STATE HIGHWAY 78 N
JACKSONVILLE, IL 62650-6227
Phone number: 217-473-5913
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