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1316053523
LEIGH ANN TACKABERRY
ROCKFORD, IL
NPI
1316053523
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
237600000X Audiologist-Hearing Aid Fitter
(Licence: IL 147-000198)
Enumeration Date
2006-08-21
Last Update Date
2007-07-08
Business Address
-- LEIGH ANN TACKABERRY M.A., F-AAA
435 N MULFORD RD STE 10
ROCKFORD, IL 61107-5100
Phone number: 815-399-5279
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Mailing Address
-- LEIGH ANN TACKABERRY M.A., F-AAA
435 N MULFORD RD STE 10
ROCKFORD, IL 61107-5100
Phone number: 815-399-5279
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