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1144902438
MELISSA HANSEN
MANTENO, IL
NPI
1144902438
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2023-08-04
Last Update Date
2023-08-04
Business Address
MELISSA HANSEN
5207 W 9000N RD
MANTENO, IL 60950-3351
Phone number: 815-386-3149
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Mailing Address
MELISSA HANSEN
598 SPRING PARK LOOP
BOURBONNAIS, IL 60914-4968
Phone number: 815-671-7092
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