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1023367059
LISA MARIE ALT
ROSELLE, IL
NPI
1023367059
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
Enumeration Date
2012-09-06
Last Update Date
2012-09-06
Business Address
MS. LISA MARIE ALT M.S.
870 YOSEMITE TRAIL
ROSELLE, IL 60172-1200
Phone number: 630-338-5373
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Mailing Address
MS. LISA MARIE ALT M.S.
870 YOSEMITE TRAIL
ROSELLE, IL 60172-1200
Phone number: 630-338-5373
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