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1952445801
LAURIE MULVANEY
MOUNT VERNON, IL
NPI
1952445801
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IL 146003574)
Enumeration Date
2007-02-16
Last Update Date
2007-07-08
Business Address
-- LAURIE MULVANEY S.T.
605 N 12TH ST
MOUNT VERNON, IL 62864-2857
Phone number: 618-436-8640
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Mailing Address
-- LAURIE MULVANEY S.T.
PO BOX 503927
SAINT LOUIS, MO 63150-0001
Phone number: 618-436-8640
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