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1205361177
DANIELLE BASALAY
NORMAL, IL
NPI
1205361177
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2017-04-27
Last Update Date
2017-04-27
Business Address
-- DANIELLE BASALAY
1606 HUNT DR
NORMAL, IL 61761-2192
Phone number: 309-452-0069
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Mailing Address
-- DANIELLE BASALAY
1606 HUNT DR
NORMAL, IL 61761-2192
Phone number: 309-452-0069
Copy
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