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1952802407
LAURA LETICIA CARLOS
CHICAGO, IL
NPI
1952802407
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IL 056.012340)
Enumeration Date
2018-02-21
Last Update Date
2018-03-17
Business Address
LAURA LETICIA CARLOS OTR/L
1401 S CALIFORNIA AVE
CHICAGO, IL 60608-1858
Phone number: 773-565-3172
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Mailing Address
LAURA LETICIA CARLOS OTR/L
493 KIOWA TRL
WHEELING, IL 60090-5128
Phone number: 224-305-2485
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