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1952554099
MELISSA LEE DUCKETT
OAK LAWN, IL
NPI
1952554099
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Former Name
MELISSA LEE MEILACH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160004652)
Enumeration Date
2008-11-03
Last Update Date
2008-11-03
Business Address
Ms. MELISSA LEE DUCKETT PTA
5540 W 111TH ST
OAK LAWN, IL 60453-5574
Phone number: 708-422-1311
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Mailing Address
Ms. MELISSA LEE DUCKETT PTA
5540 W 111TH ST
OAK LAWN, IL 60453-5574
Phone number: 708-422-1311
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