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1588802623
JASON RYAN BENNINGFIELD
PEORIA, IL
NPI
1588802623
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: IL 038-011346)
Enumeration Date
2009-01-28
Last Update Date
2009-01-28
Business Address
Dr. JASON RYAN BENNINGFIELD D.C.
1524 W GLEN AVE
PEORIA, IL 61614-4692
Phone number: 309-692-6800
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Mailing Address
Dr. JASON RYAN BENNINGFIELD D.C.
1524 W GLEN AVE
PEORIA, IL 61614-4692
Phone number: 309-692-6800
Copy
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