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1366647380
LACIE NICOLE NEWLIN
CHICAGO, IL
NPI
1366647380
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2007-06-19
Last Update Date
2007-07-08
Business Address
Miss LACIE NICOLE NEWLIN
420 W WRIGHTWOOD AVE APT. 220
CHICAGO, IL 60614-4959
Phone number: 765-366-5848
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Mailing Address
Miss LACIE NICOLE NEWLIN
420 W WRIGHTWOOD AVE APT. 220
CHICAGO, IL 60614-4959
Phone number: 765-366-5848
Copy
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