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1912136300
DARRELL DAVID BRAYBOY
GLENCOE, IL
NPI
1912136300
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171100000X Acupuncturist
(Licence: IL 198000465)
Enumeration Date
2009-07-07
Last Update Date
2009-07-07
Business Address
Mr. DARRELL DAVID BRAYBOY L.Ac.
1162 TERRACE CT
GLENCOE, IL 60022-1241
Phone number: 847-242-0927
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Mailing Address
Mr. DARRELL DAVID BRAYBOY L.Ac.
1162 TERRACE CT
GLENCOE, IL 60022-1241
Phone number: 847-242-0927
Copy