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1770204117
LONGEVITY HEALTH AND WELLNESS
PEORIA, IL
NPI
1770204117
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Entity Type
Organization
Authorized Contact
BRANDIE LONG
Owner/Chiropractor
309-678-0963
Organization Subpart ?
No
Primary Taxonomy
111N00000X Chiropractor
Enumeration Date
2022-09-05
Last Update Date
2022-10-12
Business Address
LONGEVITY HEALTH AND WELLNESS
3008 W WILLOW KNOLLS DR
PEORIA, IL 61614-1083
Phone number: 309-678-0963
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Mailing Address
LONGEVITY HEALTH AND WELLNESS
8511 COUNTRY VIEW DR
MANITO, IL 61546-8619
Phone number: 309-678-0963
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