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1710097530
NICOLE L LACKNER
PEORIA, IL
NPI
1710097530
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: IL 038009201)
Enumeration Date
2006-08-30
Last Update Date
2007-07-08
Business Address
Dr. NICOLE L LACKNER DC
7800 N SOMMER ST SUITE 305
PEORIA, IL 61615
Phone number: 309-689-5777
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Mailing Address
Dr. NICOLE L LACKNER DC
7800 N SOMMER ST SUITE 305
PEORIA, IL 61615
Phone number: 309-689-5777
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