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1912194432
MINDY S ELY
SPRINGFIELD, IL
NPI
1912194432
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
Enumeration Date
2007-09-28
Last Update Date
2007-09-28
Business Address
-- MINDY S ELY
30 DRAWBRIDGE RD
SPRINGFIELD, IL 62704-5247
Phone number: 217-899-1193
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Mailing Address
-- MINDY S ELY
30 DRAWBRIDGE RD
SPRINGFIELD, IL 62704-5247
Phone number: 217-899-1193
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