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1518926047
DONNA LYNN HANETHO
MT PROSPECT, IL
NPI
1518926047
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
204C00000X Neuromusculoskeletal Medicine, Sports Medicine
(Licence: IL 096-001462)
Enumeration Date
2006-03-22
Last Update Date
2007-07-08
Business Address
Ms. DONNA LYNN HANETHO ATC
301 E RAND RD
MT PROSPECT, IL 60056-6089
Phone number: 847-398-1775
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Mailing Address
Ms. DONNA LYNN HANETHO ATC
474 LAMBERT DR
SCHAUMBURG, IL 60193-1833
Phone number: 847-310-1868
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