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1285178277
BRANDON R WIGBOLDY
TINLEY PARK, IL
NPI
1285178277
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IL 146011666)
Enumeration Date
2016-12-09
Last Update Date
2016-12-09
Business Address
-- BRANDON R WIGBOLDY MS CCC-SLP/L
17207 71ST AVE
TINLEY PARK, IL 60477-3303
Phone number: 708-362-4603
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Mailing Address
-- BRANDON R WIGBOLDY MS CCC-SLP/L
17207 71ST AVE
TINLEY PARK, IL 60477-3303
Phone number: 708-362-4603
Copy
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