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1114142429
TINA MAE TROSPER
DANVILLE, IL
NPI
1114142429
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
(Licence: IL T62181376947)
Enumeration Date
2007-04-13
Last Update Date
2007-07-08
Business Address
-- TINA MAE TROSPER CDS
208 S VIRGINIA AVE
DANVILLE, IL 61832-6545
Phone number: 217-493-8353
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Mailing Address
-- TINA MAE TROSPER CDS
208 S VIRGINIA AVE
DANVILLE, IL 61832-6545
Phone number: 217-493-8353
Copy
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