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1033512009
GAYNELL BREWER
CHICAGO, IL
NPI
1033512009
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
(Licence: IL 1851219)
Enumeration Date
2014-10-03
Last Update Date
2014-10-03
Business Address
Dr. GAYNELL BREWER
1009 N MONITOR AVE
CHICAGO, IL 60651-2568
Phone number: 312-719-5499
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Mailing Address
Dr. GAYNELL BREWER
1009 N MONITOR AVE
CHICAGO, IL 60651-2568
Phone number: 312-719-5499
Copy
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