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1417122201
JENNIFER SHAMBAUGH
PEORIA, IL
NPI
1417122201
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160.001414)
Enumeration Date
2008-04-23
Last Update Date
2008-04-23
Business Address
JENNIFER SHAMBAUGH PTA
6501 N SHERIDAN RD
PEORIA, IL 61614-2932
Phone number: 309-692-8110
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Mailing Address
JENNIFER SHAMBAUGH PTA
6501 N SHERIDAN RD
PEORIA, IL 61614-2932
Phone number:
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