MARY KUBALANZA

CHAMPAIGN, IL
NPI1003254996
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IL  242002571)
Enumeration Date2013-06-13
Last Update Date2013-06-13
Business Address
-- MARY KUBALANZA
2001 S OAK ST SUITE B
CHAMPAIGN, IL 61820-0911
Phone number: 217-333-2205
Mailing Address
-- MARY KUBALANZA
401 W PENNSYLVANIA AVE
URBANA, IL 61801-4920
Phone number:
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