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1821089780
TIMOTHY L WENNEBORG
SPRINGFIELD, IL
NPI
1821089780
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: IL 038-006564)
Enumeration Date
2005-10-31
Last Update Date
2007-07-08
Business Address
Dr. TIMOTHY L WENNEBORG DC
1045 S 2ND ST
SPRINGFIELD, IL 62704-3004
Phone number: 207-544-5213
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Mailing Address
Dr. TIMOTHY L WENNEBORG DC
1045 S 2ND ST
SPRINGFIELD, IL 62704-3004
Phone number: 207-544-5213
Copy
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