DEETRA MICHELLE MASON

CHAMPAIGN, IL
NPI1972798890
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2007-09-13
Last Update Date2007-09-13
Business Address
-- DEETRA MICHELLE MASON
202 W PARK AVE
CHAMPAIGN, IL 61820-3929
Phone number: 217-373-2436
Mailing Address
-- DEETRA MICHELLE MASON
202 W PARK AVE
CHAMPAIGN, IL 61820-3929
Phone number: 217-373-2436
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