MICHAEL PAUL GARRISON

PEORIA, IL
NPI1912121260
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: IL  164.004648)
Enumeration Date2007-04-11
Last Update Date2007-07-08
Business Address
-- MICHAEL PAUL GARRISON RD, LDN
221 NE GLEN OAK AVE
PEORIA, IL 61636-0002
Phone number: 309-672-4954
Mailing Address
-- MICHAEL PAUL GARRISON RD, LDN
406 TIMBER LN
EAST PEORIA, IL 61611-1632
Phone number: 309-694-2102
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