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1154039741
MERCEDES BACA
CHICAGO, IL
NPI
1154039741
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2022-11-11
Last Update Date
2022-11-11
Business Address
MERCEDES BACA DT
1014 S OAKLEY BLVD
CHICAGO, IL 60612-4313
Phone number: 312-375-4151
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Mailing Address
MERCEDES BACA DT
1014 S OAKLEY BLVD
CHICAGO, IL 60612-4313
Phone number: 312-375-4151
Copy
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