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1942658885
CHANNA BAILEY
PEORIA, IL
NPI
1942658885
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TX 112332)
Enumeration Date
2016-06-01
Last Update Date
2016-06-01
Business Address
-- CHANNA BAILEY
7027 N DRAYCOTT PL
PEORIA, IL 61615-9295
Phone number: 309-294-1425
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Mailing Address
-- CHANNA BAILEY
7027 N DRAYCOTT PL
PEORIA, IL 61615-9295
Phone number:
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