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1093836561
LYNNISE R. BALLEW
OSWEGO, IL
NPI
1093836561
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Former Name
LYNNISE R. MCGREGOR
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: IL 056-006338)
Enumeration Date
2007-04-03
Last Update Date
2015-02-26
Business Address
Mrs. LYNNISE R. BALLEW OTR/L
372 RISEN STAR LN
OSWEGO, IL 60543-4033
Phone number: 630-802-4720
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Mailing Address
Mrs. LYNNISE R. BALLEW OTR/L
372 RISEN STAR LN
OSWEGO, IL 60543
Phone number: 630-802-4720
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