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1629627088
DIANA WITTENBRINK
WATERLOO, IL
NPI
1629627088
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-09-09
Last Update Date
2019-09-09
Business Address
DIANA WITTENBRINK MHP
988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298-1059
Phone number: 618-939-4444
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Mailing Address
DIANA WITTENBRINK MHP
988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298-1059
Phone number: 618-939-4444
Copy
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