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1487961215
REBECCA WADDELL
DECATUR, IL
NPI
1487961215
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
347C00000X Private Vehicle
(Licence: IL W340-7217-9782)
Enumeration Date
2010-08-31
Last Update Date
2010-08-31
Business Address
-- REBECCA WADDELL
120 BENTON DR
DECATUR, IL 62526-1408
Phone number: 217-433-1461
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Mailing Address
-- REBECCA WADDELL
120 BENTON DR
DECATUR, IL 62526-1408
Phone number: 217-433-1461
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