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1760759260
IRVING BALLENA ROSAUPAN
SCHAUMBURG, IL
NPI
1760759260
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225XP0019X Occupational Therapist, Physical Rehabilitation
(Licence: IL 056007816)
Enumeration Date
2011-11-28
Last Update Date
2011-11-28
Business Address
-- IRVING BALLENA ROSAUPAN OTR/L
675 S ROSELLE RD
SCHAUMBURG, IL 60193-3100
Phone number: 847-352-5500
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Mailing Address
-- IRVING BALLENA ROSAUPAN OTR/L
675 S ROSELLE RD
SCHAUMBURG, IL 60193-3100
Phone number: 847-352-5500
Copy
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