NPI	LastName	FirstName	MidName	Organization	Mailing Address	City	State	Zip
1598710345				JAK ENTERPRISES INC	8309 N KNOXVILLE AVE	PEORIA	IL	616152170
1770589244	PELFREY-JONES	SANDRA	ROSE		8309 N KNOXVILLE AVE	PEORIA	IL	616152170

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