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1558659573
MATTHEW J SHEPARD
BLOOMINGTON, IL
NPI
1558659573
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111NR0400X Chiropractor, Rehabilitation
(Licence: IL 038011982)
Enumeration Date
2011-07-11
Last Update Date
2011-11-21
Business Address
Dr. MATTHEW J SHEPARD D.C.
2309 E EMPIRE ST STE 400
BLOOMINGTON, IL 61704-8902
Phone number: 309-585-0382
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Mailing Address
Dr. MATTHEW J SHEPARD D.C.
2309 E EMPIRE ST STE 400
BLOOMINGTON, IL 61704-8902
Phone number: 309-585-0382
Copy
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