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1386005890
JESSICA LANE HALL
CHICAGO, IL
NPI
1386005890
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
Additional Taxonomies
247200000X Technician, Other
Enumeration Date
2016-03-10
Last Update Date
2023-10-27
Business Address
JESSICA LANE HALL
1409 W CARROLL AVE
CHICAGO, IL 60607-1105
Phone number: 312-733-0883
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Mailing Address
JESSICA LANE HALL
2747 WOODWORTH PL
HAZEL CREST, IL 60429-1775
Phone number: 480-244-2144
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