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1275241226
SHANEL RENEE IVY
DECATUR, IL
NPI
1275241226
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
374J00000X Doula
Enumeration Date
2022-11-08
Last Update Date
2022-11-08
Business Address
SHANEL RENEE IVY
1423 N WALNUT GROVE AVE
DECATUR, IL 62526-3855
Phone number: 773-746-5111
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Mailing Address
SHANEL RENEE IVY
1423 N WALNUT GROVE AVE
DECATUR, IL 62526-3855
Phone number: 773-746-5111
Copy