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1053334425
LYNN MARIE MALANFANT
NORTH CHICAGO, IL
NPI
1053334425
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: IL 036-082738)
Enumeration Date
2006-07-25
Last Update Date
2007-07-08
Business Address
-- LYNN MARIE MALANFANT
3001 GREEN BAY RD
NORTH CHICAGO, IL 60064-3048
Phone number: 815-759-2306
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Mailing Address
-- LYNN MARIE MALANFANT
620 SOUTH RT 31
MCHENRY, IL 60050-8107
Phone number: 815-759-2306
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