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1356849772
BRANDIE LONG
PEORIA, IL
NPI
1356849772
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Former Name
BRANDIE BOND
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: IL 038012626)
Enumeration Date
2018-01-31
Last Update Date
2022-07-21
Business Address
BRANDIE LONG
4125 N SHERIDAN RD STE 14
PEORIA, IL 61614-7181
Phone number: 630-468-1824
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Mailing Address
BRANDIE LONG
2625 BUTTERFIELD RD STE 301N
OAK BROOK, IL 60523-1266
Phone number: 630-468-1824
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