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1932228087
AMY J GOMOLL
SOUTH ELGIN, IL
NPI
1932228087
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
(Licence: IL AG34481006P)
Enumeration Date
2007-03-28
Last Update Date
2007-07-08
Business Address
Mrs. AMY J GOMOLL D.T.
582 ARBOR LN
SOUTH ELGIN, IL 60177-2864
Phone number: 847-741-4675
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Mailing Address
Mrs. AMY J GOMOLL D.T.
582 ARBOR LN
SOUTH ELGIN, IL 60177-2864
Phone number: 847-741-4675
Copy
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