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1235755976
KIMBERLY JEANETTE LANE
AURORA, IL
NPI
1235755976
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2020-06-18
Last Update Date
2020-06-18
Business Address
KIMBERLY JEANETTE LANE
2112 W GALENA BLVD STE 8-316
AURORA, IL 60506-3255
Phone number: 630-661-7253
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Mailing Address
KIMBERLY JEANETTE LANE
PO BOX 291072
CHICAGO, IL 60629-6072
Phone number: 872-777-0984
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