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1497526339
MAXWEL DOMAN
OAK PARK, IL
NPI
1497526339
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IL 146014254)
Enumeration Date
2024-01-10
Last Update Date
2024-09-04
Business Address
MAXWEL DOMAN CCC-SLP
135 N HARVEY AVE
OAK PARK, IL 60302-2622
Phone number: 708-369-7169
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Mailing Address
MAXWEL DOMAN CCC-SLP
2130 W CHICAGO AVE APT 3F
CHICAGO, IL 60622-4217
Phone number: 708-369-7169
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