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1023412681
LAN LA
CHICAGO, IL
NPI
1023412681
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2014-10-10
Last Update Date
2014-10-10
Business Address
-- LAN LA M.S.
343 W 30TH PL
CHICAGO, IL 60616-2652
Phone number: 312-823-4419
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Mailing Address
-- LAN LA M.S.
343 W 30TH PL
CHICAGO, IL 60616-2652
Phone number: 312-823-4419
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