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1083995955
LISA M KUBELKA
ROCKFORD, IL
NPI
1083995955
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IL 146.005286)
Enumeration Date
2011-09-06
Last Update Date
2020-01-09
Business Address
LISA M KUBELKA
209 9TH ST STE 302
ROCKFORD, IL 61104-2235
Phone number: 779-696-4400
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Mailing Address
LISA M KUBELKA
PO BOX 78866
MILWAUKEE, WI 53278-8866
Phone number: 779-696-4400
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