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1104278936
MICHELLE SHAN
BATAVIA, IL
NPI
1104278936
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Former Name
MICHELLE MILLER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IL 242.003934)
Enumeration Date
2016-07-05
Last Update Date
2016-07-05
Business Address
Mrs. MICHELLE SHAN
1049 E WILSON ST
BATAVIA, IL 60510-2474
Phone number: 630-761-0900
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Mailing Address
Mrs. MICHELLE SHAN
1049 E WILSON ST
BATAVIA, IL 60510-2474
Phone number: 630-761-0900
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