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Individual

STELLA M. VILLASENOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1100 E TAYLOR ST, BLOOMINGTON, IL 61701-5561
(309) 827-0938
Mailing address
1100 E TAYLOR ST, BLOOMINGTON, IL 61701-5561
(309) 827-0938

Taxonomy

Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary

Other

Enumeration date
08/14/2009
Last updated
08/14/2009
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