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1821405002
LISA OBRYAN
FISHER, IL
NPI
1821405002
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: IL 227011821)
Enumeration Date
2014-07-19
Last Update Date
2014-07-19
Business Address
-- LISA OBRYAN LMT
108 S 3RD ST
FISHER, IL 61843-9549
Phone number: 217-897-1444
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Mailing Address
-- LISA OBRYAN LMT
PO BOX 324
FISHER, IL 61843-0324
Phone number: 217-897-1444
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