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1881090678
REBECCA LYNN LOGAN
CHICAGO, IL
NPI
1881090678
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2014-11-06
Last Update Date
2014-11-06
Business Address
-- REBECCA LYNN LOGAN
4310 N SPAULDING AVE # 1
CHICAGO, IL 60618-1237
Phone number: 402-440-9499
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Mailing Address
-- REBECCA LYNN LOGAN
4310 N SPAULDING AVE # 1
CHICAGO, IL 60618-1237
Phone number: 402-440-9499
Copy
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