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1275642969
SUSAN ELAINE MINYARD
CHAMPAIGN, IL
NPI
1275642969
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
Additional Taxonomies
103T00000X Psychologist
(Licence: IN 20040161)
Enumeration Date
2006-08-29
Last Update Date
2007-07-08
Business Address
DR. SUSAN ELAINE MINYARD PH D
1701 SOUTH PROSPECT AVENUE SUITE 8
CHAMPAIGN, IL 61820-7050
Phone number: 217-355-9030
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Mailing Address
DR. SUSAN ELAINE MINYARD PH D
1701 SOUTH PROSPECT AVENUE SUITE 8
CHAMPAIGN, IL 61820-7050
Phone number: 217-355-9030
Copy
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