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1922386044
MARISSA L ULM
PEORIA, IL
NPI
1922386044
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IL 242001914)
Enumeration Date
2011-07-22
Last Update Date
2011-07-22
Business Address
-- MARISSA L ULM SLP
2338 W SUD PKWY SUITE 3100
PEORIA, IL 61615-7482
Phone number: 309-693-9189
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Mailing Address
-- MARISSA L ULM SLP
2338 W SUD PKWY SUITE 3100
PEORIA, IL 61615-7482
Phone number: 309-693-9189
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