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1871622274
JEANNE MIMI GOURGUECHON
CHICAGO, IL
NPI
1871622274
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IL JG39350902P)
Enumeration Date
2007-03-04
Last Update Date
2007-07-08
Business Address
Ms. JEANNE MIMI GOURGUECHON DTH
2042 W MORSE AVE
CHICAGO, IL 60645-4955
Phone number: 773-495-6627
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Mailing Address
Ms. JEANNE MIMI GOURGUECHON DTH
2042 W MORSE AVE
CHICAGO, IL 60645-4955
Phone number: 773-495-6627
Copy
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