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1740297217
SUZANNE JUSTICE
PEORIA, IL
NPI
1740297217
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IL 146-001843)
Enumeration Date
2006-08-01
Last Update Date
2007-07-08
Business Address
-- SUZANNE JUSTICE S.T.
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-655-6961
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Mailing Address
-- SUZANNE JUSTICE S.T.
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-655-2000
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