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1184848855
GLENNA V JAKUSH
CHICAGO, IL
NPI
1184848855
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2007-04-12
Last Update Date
2007-07-08
Business Address
GLENNA V JAKUSH
2817 N WHIPPLE ST
CHICAGO, IL 60618-7616
Phone number: 773-342-8466
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Mailing Address
GLENNA V JAKUSH
2817 N WHIPPLE ST
CHICAGO, IL 60618-7616
Phone number: 773-342-8466
Copy
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