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Miss Sonya R Schleeper

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NPI Number Detailed Information

Provider Information:

Name: Miss Sonya R Schleeper
Gender: F
Provider License Number If Given: 36097445

NPI Information:

NPI: 1538162565
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 5/23/2005

Last Update Date: 9/2/2015

Provider Business Mailing Address:

Address: 390 MAPLE SUMMIT RD
Jerseyville, IL 62052
Phone Number: 6184987518
Fax Number: 6184983052

Provider Business Practice Location Address:

Address: 270 MAPLE SUMMIT RD
Jerseyville, IL 62052
Phone Number: 6184987108
Fax Number: 6184987919

Provider Taxonomy:

Primary: 207Q00000X
Secondary (if any):
State: IL

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