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1578684130
JEAN A KIENZLE
TINLEY PARK, IL
NPI
1578684130
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IL 146002019)
Enumeration Date
2007-04-02
Last Update Date
2007-07-08
Business Address
Mrs. JEAN A KIENZLE SLP
6775 PROSPERI DR
TINLEY PARK, IL 60477-4789
Phone number: 708-429-1260
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Mailing Address
Mrs. JEAN A KIENZLE SLP
13037 RHODE ST
CEDAR LAKE, IN 46303-9745
Phone number: 219-374-5051
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