Individual
MRS. ALLIE L BORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
105 S CENTER ST, COLFAX, IL 61728-8954
(309) 261-4515
Mailing address
101 E COOPER ST, COLFAX, IL 61728-9248
(309) 261-4515
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227020243
IL
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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