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1548486152
DYNATA CHARLES FUNDERBURG
FLOSSMOOR, IL
NPI
1548486152
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TM1800X Psychologist, Intellectual & Developmental Disabilities
Enumeration Date
2007-04-18
Last Update Date
2007-07-08
Business Address
Mrs. DYNATA CHARLES FUNDERBURG M.A.
806 MAPLE RD
FLOSSMOOR, IL 60422-1060
Phone number: 708-647-6426
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Mailing Address
Mrs. DYNATA CHARLES FUNDERBURG M.A.
806 MAPLE RD
FLOSSMOOR, IL 60422-1060
Phone number: 708-647-6426
Copy
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