CAROL DIANE BOULWARE

QUINCY, IL
NPI1275781643
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: MO  2005038798)
Enumeration Date2008-08-28
Last Update Date2008-08-28
Business Address
Ms. CAROL DIANE BOULWARE LMT
1615 SPRUCE ST
QUINCY, IL 62301-2060
Phone number: 217-242-3495
Mailing Address
Ms. CAROL DIANE BOULWARE LMT
1615 SPRUCE ST
QUINCY, IL 62301-2060
Phone number: 217-242-3495
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