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1306192810
MEGAN M WALLACE
BLOOMINGTON, IL
NPI
1306192810
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Former Name
MEGAN M HEMMER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
231H00000X Audiologist
(Licence: IL 147001429)
Enumeration Date
2012-08-02
Last Update Date
2022-01-05
Business Address
MEGAN M WALLACE Au.D.
2502 E EMPIRE ST
BLOOMINGTON, IL 61704-3738
Phone number: 309-663-4368
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Mailing Address
MEGAN M WALLACE Au.D.
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820-3909
Phone number: 815-971-2000
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