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1396333928
SHARON MINDY DEFFENBAUGH
LACON, IL
NPI
1396333928
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747A0650X Technician, Attendant Care Provider
Enumeration Date
2021-01-08
Last Update Date
2021-01-08
Business Address
SHARON MINDY DEFFENBAUGH
815 2ND ST
LACON, IL 61540-1737
Phone number: 309-363-4695
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Mailing Address
SHARON MINDY DEFFENBAUGH
815 2ND ST
LACON, IL 61540-1737
Phone number: 309-363-4695
Copy