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1679302145
EMILEE LANE MOORE
CHICAGO, IL
NPI
1679302145
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IL 056.016136)
Enumeration Date
2024-07-31
Last Update Date
2024-07-31
Business Address
Dr. EMILEE LANE MOORE OTD, OTR/L
3709 N KEDZIE AVE
CHICAGO, IL 60618-4503
Phone number: 773-377-5492
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Mailing Address
Dr. EMILEE LANE MOORE OTD, OTR/L
4310 N FRANCISCO AVE FL 1
CHICAGO, IL 60618-1410
Phone number: 308-440-6721
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