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1518658871
JENNIFER NICOLE LEAKE
ROCKFORD, IL
NPI
1518658871
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: IL 227.022820)
Enumeration Date
2023-05-17
Last Update Date
2023-05-17
Business Address
JENNIFER NICOLE LEAKE LMT
6778 MILL RD STE 300
ROCKFORD, IL 61108-2502
Phone number: 815-977-4140
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Mailing Address
JENNIFER NICOLE LEAKE LMT
6778 MILL RD STE 300
ROCKFORD, IL 61108-2502
Phone number: 815-977-4140
Copy
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