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1306196654
SHIRLEY HYDE
CHICAGO, IL
NPI
1306196654
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IL 056.003276)
Enumeration Date
2012-09-13
Last Update Date
2012-09-13
Business Address
-- SHIRLEY HYDE OTR
9912 S FOREST AVE
CHICAGO, IL 60628-1440
Phone number: 630-205-5006
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Mailing Address
-- SHIRLEY HYDE OTR
3660 W 79TH AVE
MERRILLVILLE, IN 46410-5004
Phone number: 630-205-5006
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