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1437639002
LARA MAMMINGA
AURORA, IL
NPI
1437639002
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IL 242.004803)
Enumeration Date
2018-08-14
Last Update Date
2018-08-14
Business Address
LARA MAMMINGA SLP
2721 STONEBRIDGE BLVD
AURORA, IL 60502-8403
Phone number: 630-375-1010
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Mailing Address
LARA MAMMINGA SLP
2721 STONEBRIDGE BLVD
AURORA, IL 60502-8403
Phone number: 630-375-1010
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