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1649837220
SHELBY FAYEANN DURBIN
CHICAGO, IL
NPI
1649837220
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IL 057.005133)
Enumeration Date
2019-05-20
Last Update Date
2019-05-20
Business Address
SHELBY FAYEANN DURBIN COTA/L
5534 N KENMORE AVE APT 202
CHICAGO, IL 60640-1542
Phone number: 217-823-9164
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Mailing Address
SHELBY FAYEANN DURBIN COTA/L
5534 N KENMORE AVE APT 202
CHICAGO, IL 60640-1542
Phone number: 217-823-9164
Copy
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