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1841530847
DAWN ENNIS WURST
GLENVIEW, IL
NPI
1841530847
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IL 056010041)
Enumeration Date
2013-02-27
Last Update Date
2014-02-05
Business Address
-- DAWN ENNIS WURST OTR/L
1308 WAUKEGAN RD
GLENVIEW, IL 60025-3070
Phone number: 877-486-4140
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Mailing Address
-- DAWN ENNIS WURST OTR/L
1358 W SUNNYSIDE AVE # 1
CHICAGO, IL 60640-5583
Phone number: 248-840-1105
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