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1174068852
NIKITA WALLS
CHICAGO, IL
NPI
1174068852
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2017-01-04
Last Update Date
2017-01-04
Business Address
-- NIKITA WALLS
1339 N LOREL AVE
CHICAGO, IL 60651-1367
Phone number: 773-297-9410
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Mailing Address
-- NIKITA WALLS
1339 N LOREL AVE
CHICAGO, IL 60651-1367
Phone number: 773-297-9410
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