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1174608400
DATHAN A. PATERNO
PARK RIDGE, IL
NPI
1174608400
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IL 071.006986)
Enumeration Date
2006-10-26
Last Update Date
2007-07-08
Business Address
Dr. DATHAN A. PATERNO Psy.D.
36 MAIN ST SUITE 106
PARK RIDGE, IL 60068-4059
Phone number: 847-692-6692
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Mailing Address
Dr. DATHAN A. PATERNO Psy.D.
36 MAIN ST SUITE 106
PARK RIDGE, IL 60068-4059
Phone number: 847-692-6692
Copy
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