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1538667746
CODY DEREK NEEDHAM
SPRINGFIELD, IL
NPI
1538667746
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: IL 038013185)
Enumeration Date
2018-01-23
Last Update Date
2018-01-24
Business Address
Dr. CODY DEREK NEEDHAM DC
205 N GRAND AVE W
SPRINGFIELD, IL 62702-2550
Phone number: 217-525-2035
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Mailing Address
Dr. CODY DEREK NEEDHAM DC
205 N GRAND AVE W
SPRINGFIELD, IL 62702-2550
Phone number: 217-525-2035
Copy
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