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1801061627
AUDREY SLAVEN
GLENVIEW, IL
NPI
1801061627
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160.003955)
Enumeration Date
2008-04-23
Last Update Date
2008-04-23
Business Address
-- AUDREY SLAVEN P.T.A.
3707 WEST LAKE AVENUE SUITE 200
GLENVIEW, IL 60026
Phone number: 847-998-1188
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Mailing Address
-- AUDREY SLAVEN P.T.A.
818 S 2ND ST
DEKALB, IL 60115-4171
Phone number:
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