MELINDA ROSE FAGAN

LA GRANGE, IL
NPI1225172570
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: IL  056006170)
Enumeration Date2007-02-19
Last Update Date2019-09-20
Business Address
MELINDA ROSE FAGAN M.S.
1301 W COSSITT AVE
LA GRANGE, IL 60525-2145
Phone number: 708-354-5730
Mailing Address
MELINDA ROSE FAGAN M.S.
1301 W COSSITT AVE
LA GRANGE, IL 60525-2145
Phone number: 708-354-5730
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