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1306146816
BEATRICE LYNN PETRASSI
MOKENA, IL
NPI
1306146816
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
(Licence: IL 2051320)
Enumeration Date
2010-10-31
Last Update Date
2010-10-31
Business Address
Mrs. BEATRICE LYNN PETRASSI DT
19424 NEWPORT DR
MOKENA, IL 60448-8395
Phone number: 708-478-4734
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Mailing Address
Mrs. BEATRICE LYNN PETRASSI DT
19424 NEWPORT DR
MOKENA, IL 60448-8395
Phone number: 708-478-4734
Copy
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