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1417590506
KRISTIN A ROSE
CHAMPAIGN, IL
NPI
1417590506
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Professional Name
KRISTIN A ROSE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2019-10-22
Last Update Date
2019-10-22
Business Address
KRISTIN A ROSE DT
1304 W BRADLEY AVE
CHAMPAIGN, IL 61821-2035
Phone number: 217-356-9176
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Mailing Address
KRISTIN A ROSE DT
701 W CHURCH ST APT 1
CHAMPAIGN, IL 61820-3393
Phone number: 217-621-7129
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