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1174030381
KRISTIAN SHUMATE GREENWELL
CHICAGO, IL
NPI
1174030381
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
Enumeration Date
2018-01-09
Last Update Date
2023-06-19
Business Address
KRISTIAN SHUMATE GREENWELL
1739 N ELSTON AVE
CHICAGO, IL 60642-1544
Phone number: 773-687-9241
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Mailing Address
KRISTIAN SHUMATE GREENWELL
2720 W CORTLAND ST APT 105
CHICAGO, IL 60647-5182
Phone number: 270-303-1313
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