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1366970071
DAVID WAYNE SMALL
GRAYSLAKE, IL
NPI
1366970071
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IL 056005451)
Enumeration Date
2017-05-24
Last Update Date
2022-07-21
Business Address
Mr. DAVID WAYNE SMALL OTR/L
30776 N BLACKHAWK TRL
GRAYSLAKE, IL 60030-9792
Phone number: 224-355-9898
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Mailing Address
Mr. DAVID WAYNE SMALL OTR/L
30776 N BLACKHAWK TRL
GRAYSLAKE, IL 60030-9792
Phone number: 224-355-9898
Copy
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