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1376114041
STEPHANIE RENEE STUMBAUGH
BELLE RIVE, IL
NPI
1376114041
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747A0650X Technician, Attendant Care Provider
Enumeration Date
2021-07-05
Last Update Date
2021-07-05
Business Address
STEPHANIE RENEE STUMBAUGH
405 S MAIN ST
BELLE RIVE, IL 62810-1228
Phone number: 618-316-1626
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Mailing Address
STEPHANIE RENEE STUMBAUGH
818 S 19TH ST
MOUNT VERNON, IL 62864-4666
Phone number: 618-314-2919
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