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Individual

JANNETTE VERMEIRE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2701 17TH ST, ROCK ISLAND, IL 61201-5351
(309) 779-5000
Mailing address
2622 23 1/2 AVE, ROCK ISLAND, IL 61201-4642
(309) 314-4676

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
12/06/2016
Last updated
12/06/2016
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