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Organization

CORPO BELLO FULL SERVICE DAY SPA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JENNY LYNN BOHANNAN-BIGGS (CO-OWNER)
(309) 692-3400
Entity
Organization

Contact information

Practice address
1703 W CANDLETREE DR, SUITE B, PEORIA, IL 61614-1591
(309) 692-3400
Mailing address
1703 W CANDLETREE DR, SUITE B, PEORIA, IL 61614-1591
(309) 692-3400

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
011.259084
IL

Other

Enumeration date
04/24/2013
Last updated
04/24/2013
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