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1619096906
MELISSA BETH KOEHL
CHICAGO, IL
NPI
1619096906
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: IL 070.012754)
Enumeration Date
2007-03-28
Last Update Date
2007-07-08
Business Address
-- MELISSA BETH KOEHL PT
1801 W TAYLOR ST
CHICAGO, IL 60612-4319
Phone number: 312-355-4394
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Mailing Address
-- MELISSA BETH KOEHL PT
525 N ADA ST APT 10
CHICAGO, IL 60622-6486
Phone number:
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