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1760658231
TARA GRUENENFELDER
SPRINGFIELD, IL
NPI
1760658231
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: IL 146006765)
Enumeration Date
2008-05-05
Last Update Date
2008-05-05
Business Address
TARA GRUENENFELDER
2040 TIMBERBROOK DR
SPRINGFIELD, IL 62702-6623
Phone number: 217-726-9438
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Mailing Address
TARA GRUENENFELDER
1813 HUNTER RIDGE DR
SPRINGFIELD, IL 62704-6437
Phone number:
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