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1336745892
BLOOMINGTON-NORMAL SPEECH THERAPY LLC
BLOOMINGTON, IL
NPI
1336745892
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Entity Type
Organization
Authorized Contact
BASHA M ONTIVEROS
Owner
309-830-5925
Organization Subpart ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
Enumeration Date
2020-12-09
Last Update Date
2020-12-09
Business Address
BLOOMINGTON-NORMAL SPEECH THERAPY LLC
2416 E WASHINGTON ST STE C5
BLOOMINGTON, IL 61704-1629
Phone number: 309-830-5925
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Mailing Address
BLOOMINGTON-NORMAL SPEECH THERAPY LLC
2416 E WASHINGTON ST STE C5
BLOOMINGTON, IL 61704-1629
Phone number: 309-830-5925
Copy
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