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1972735934
MICHELE ELAINE DAVIS
LANSING, IL
NPI
1972735934
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
222Q00000X Developmental Therapist
(Licence: IL 974440764)
Enumeration Date
2009-08-10
Last Update Date
2009-08-10
Business Address
Ms. MICHELE ELAINE DAVIS
17434 ROY ST
LANSING, IL 60438-1351
Phone number: 708-359-9817
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Mailing Address
Ms. MICHELE ELAINE DAVIS
17434 ROY ST
LANSING, IL 60438-1351
Phone number: 708-359-9817
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