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1952056483
KAYLA LIGHTWOOD
MATTOON, IL
NPI
1952056483
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Former Name
KAYLA MAST
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2022-02-14
Last Update Date
2022-02-14
Business Address
KAYLA LIGHTWOOD
750 BROADWAY AVE E
MATTOON, IL 61938-4610
Phone number: 217-238-5700
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Mailing Address
KAYLA LIGHTWOOD
750 BROADWAY AVE E
MATTOON, IL 61938-4610
Phone number: 217-238-5700
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