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1588325674
SHAN EVE WAID
PEORIA, IL
NPI
1588325674
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160009347)
Enumeration Date
2022-01-01
Last Update Date
2022-01-01
Business Address
SHAN EVE WAID PTA
6901 N GALENA RD
PEORIA, IL 61614-3193
Phone number: 309-692-4600
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Mailing Address
SHAN EVE WAID PTA
676 COUNTY ROAD 650 N
SPARLAND, IL 61565-9657
Phone number: 309-363-3061
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