MICKEY A FUSON

BLOOMINGTON, IL
NPI1992050074
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy111N00000X Chiropractor
(Licence: IL  038004294)
Enumeration Date2012-07-16
Last Update Date2012-07-16
Business Address
Dr. MICKEY A FUSON D.C.
2415 E WASHINGTON ST SUITE F
BLOOMINGTON, IL 61704-4473
Phone number: 309-838-7011
Mailing Address
Dr. MICKEY A FUSON D.C.
2415 E WASHINGTON ST STE F
BLOOMINGTON, IL 61704-1609
Phone number: 309-838-7011
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