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1801076708
SAN P MO
LAKE ZURICH, IL
NPI
1801076708
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 178.004479)
Enumeration Date
2007-11-07
Last Update Date
2007-11-07
Business Address
Mrs. SAN P MO L.P.C.
61 S OLD RAND RD
LAKE ZURICH, IL 60047-3127
Phone number: 847-438-4222
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Mailing Address
Mrs. SAN P MO L.P.C.
61 S OLD RAND RD
LAKE ZURICH, IL 60047-3127
Phone number: 847-438-4222
Copy
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