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1083852164
MARY LORAINE RYAN
CRYSTAL LAKE, IL
NPI
1083852164
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IL 057.000176)
Enumeration Date
2009-01-28
Last Update Date
2009-01-28
Business Address
Mrs. MARY LORAINE RYAN
411 E CONGRESS PKWY SUITE B
CRYSTAL LAKE, IL 60014-6247
Phone number: 815-459-3810
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Mailing Address
Mrs. MARY LORAINE RYAN
411 E CONGRESS PKWY SUITE B
CRYSTAL LAKE, IL 60014-6247
Phone number: 815-459-3810
Copy
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