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1902927866
DONNA ROSE VONKANNON
MACOMB, IL
NPI
1902927866
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2007-04-02
Last Update Date
2007-07-08
Business Address
-- DONNA ROSE VONKANNON
1406 MAPLE AVE
MACOMB, IL 61455-3209
Phone number: 309-837-7791
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Mailing Address
-- DONNA ROSE VONKANNON
1406 MAPLE AVE
MACOMB, IL 61455-3209
Phone number: 309-837-7791
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