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Individual

MRS. AMY ELIZABETH FREUND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1260 E 2200 NORTH RD, MANSFIELD, IL 61854-6883
(217) 762-7609
Mailing address
1260 E 2200 NORTH RD, MANSFIELD, IL 61854-6883
(217) 762-7609

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary

Other

Enumeration date
04/14/2008
Last updated
04/14/2008
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