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1417047119
MICHELE M WOLTER
OAK PARK, IL
NPI
1417047119
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Former Name
MICHELE GLENNIE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: IL 056-003207)
Enumeration Date
2006-10-13
Last Update Date
2007-07-16
Business Address
-- MICHELE M WOLTER OTRL
1119 HAYES AVE
OAK PARK, IL 60302-1105
Phone number: 708-358-1231
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Mailing Address
-- MICHELE M WOLTER OTRL
1119 HAYES AVE
OAK PARK, IL 60302-1105
Phone number:
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