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1316559933
NINA MARIE DEFFALA
CHICAGO, IL
NPI
1316559933
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IL 242005963)
Enumeration Date
2020-08-17
Last Update Date
2020-08-18
Business Address
NINA MARIE DEFFALA
4505 S DREXEL BLVD
CHICAGO, IL 60653-4301
Phone number: 708-336-9463
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Mailing Address
NINA MARIE DEFFALA
7627 163RD ST
TINLEY PARK, IL 60477-1430
Phone number: 708-336-9463
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