Individual
JESSICA LABER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
A.T.C./L
Contact information
Practice address
1 UNIVERSITY CIR, 113 WESTERN HALL, MACOMB, IL 61455-1367
(309) 298-1253
Mailing address
1025 DERRY LN, APARTMENT 9, MACOMB, IL 61455-2665
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Enumeration date
03/08/2006
Last updated
07/08/2007
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