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1740655109
LISA MALONEY
GOODFIELD, IL
NPI
1740655109
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: IL 057.001195)
Enumeration Date
2015-12-09
Last Update Date
2015-12-09
Business Address
-- LISA MALONEY
212 N CLEVELAND ST
GOODFIELD, IL 61742-9602
Phone number: 309-339-4410
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Mailing Address
-- LISA MALONEY
212 N CLEVELAND ST
GOODFIELD, IL 61742-9602
Phone number:
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