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1013322007
SHANNON ZIMMER
LA GRANGE, IL
NPI
1013322007
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2014-06-27
Last Update Date
2014-06-27
Business Address
-- SHANNON ZIMMER
54 BLUFF AVE
LA GRANGE, IL 60525-3678
Phone number: 708-601-6412
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Mailing Address
-- SHANNON ZIMMER
54 BLUFF AVE
LA GRANGE, IL 60525-3678
Phone number: 708-601-6412
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