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1518534296
MELISSA D TALLEY
CHAMPAIGN, IL
NPI
1518534296
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2021-06-09
Last Update Date
2021-06-09
Business Address
MELISSA D TALLEY DT
3339 STONEWAY CT
CHAMPAIGN, IL 61822-2404
Phone number: 121-789-8663
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Mailing Address
MELISSA D TALLEY DT
3339 STONEWAY CT
CHAMPAIGN, IL 61822-2404
Phone number: 121-789-8663
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