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1386214559
MINDY SUE PETTENGER
FREEPORT, IL
NPI
1386214559
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2021-06-29
Last Update Date
2021-06-29
Business Address
MINDY SUE PETTENGER
421 W EXCHANGE ST
FREEPORT, IL 61032-4008
Phone number: 815-599-7300
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Mailing Address
MINDY SUE PETTENGER
PO BOX 813
FREEPORT, IL 61032-0813
Phone number:
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