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1912604158
KATYA MIRGORODSKI
LAKE ZURICH, IL
NPI
1912604158
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IL pending)
Enumeration Date
2023-02-08
Last Update Date
2023-02-08
Business Address
KATYA MIRGORODSKI
900 S RAND RD
LAKE ZURICH, IL 60047-2450
Phone number: 847-726-1200
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Mailing Address
KATYA MIRGORODSKI
141 OAK ST
LAKE ZURICH, IL 60047-1321
Phone number: 847-610-0021
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