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1700096781
DONNA MARIE BALLAK
JOLIET, IL
NPI
1700096781
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: IL 056001150)
Enumeration Date
2007-05-22
Last Update Date
2007-07-08
Business Address
-- DONNA MARIE BALLAK
212 BARNEY DR
JOLIET, IL 60435-5271
Phone number: 815-725-2194
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Mailing Address
-- DONNA MARIE BALLAK
24162 S IROQUOIS DR
CHANNAHON, IL 60410-3187
Phone number:
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