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1821204223
SHANE MICHAEL WADE
OSWEGO, IL
NPI
1821204223
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: IL 38010945)
Enumeration Date
2007-05-15
Last Update Date
2007-07-08
Business Address
Dr. SHANE MICHAEL WADE D.C.
73 W VAN BUREN ST
OSWEGO, IL 60543-7213
Phone number: 630-450-5006
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Mailing Address
Dr. SHANE MICHAEL WADE D.C.
628 SALEM CIR
OSWEGO, IL 60543-8665
Phone number:
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