Organization
GIRLFRIENDS, LLC
Active
Other names
Girlfriends...the bra specialists
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHLEEEN J. GLASCOCK M.S. ED. (OWNER)
(815) 780-8151
Entity
Organization
Contact information
Practice address
4419 PROGRESS BLVD, PERU, IL 61354-1109
(815) 780-8151
(815) 780-8151
Mailing address
4419 PROGRESS BLVD, PERU, IL 61354-1109
(815) 780-8151
(815) 780-8151
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
09/04/2008
Last updated
07/29/2010
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