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1295950244
DEBORAH A. WALLACE
CHICAGO, IL
NPI
1295950244
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IL 056001118)
Enumeration Date
2007-04-16
Last Update Date
2007-07-08
Business Address
-- DEBORAH A. WALLACE
710 S PAULINA ST
CHICAGO, IL 60612-3808
Phone number: 312-942-7173
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Mailing Address
-- DEBORAH A. WALLACE
1036 BORDEN DR
ROSELLE, IL 60172-1706
Phone number: 312-942-7173
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