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1588017115
BERNICE SHELTON
CALUMET CITY, IL
NPI
1588017115
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
Enumeration Date
2016-07-19
Last Update Date
2016-07-19
Business Address
MRS. BERNICE SHELTON D.T.
450 PRAIRIE AVE SUITE 103
CALUMET CITY, IL 60409-2125
Phone number: 773-339-1867
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Mailing Address
MRS. BERNICE SHELTON D.T.
303 STONEY ISLAND AVE P.O. BOX 2510
CALUMET CITY, IL 60409-1726
Phone number: 773-339-1867
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