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1164566584
NICOLE MARY MACKINNON
NAPERVILLE, IL
NPI
1164566584
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IL 146.007562)
Enumeration Date
2007-02-18
Last Update Date
2007-07-08
Business Address
Mrs. NICOLE MARY MACKINNON M.S. CCC-SLP L
835 VIOLET CIR
NAPERVILLE, IL 60540-9226
Phone number: 630-357-6339
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Mailing Address
Mrs. NICOLE MARY MACKINNON M.S. CCC-SLP L
835 VIOLET CIR
NAPERVILLE, IL 60540-9226
Phone number: 630-357-6339
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