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1407900459
MARY A MCKINNELL
DEKALB, IL
NPI
1407900459
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Former Name
MARY ANN HEILEMEIER AND DECKER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: IL 180002540)
Enumeration Date
2007-01-23
Last Update Date
2007-07-09
Business Address
-- MARY A MCKINNELL L.C.P.C
8 HEALTH SERVICES DR STE 4
DEKALB, IL 60115-9647
Phone number: 815-748-8900
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Mailing Address
-- MARY A MCKINNELL L.C.P.C
8 HEALTH SERVICES DR STE 4
DEKALB, IL 60115-9647
Phone number: 815-748-8900
Copy
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