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1992296834
KAITLIN S IBARA
CHICAGO, IL
NPI
1992296834
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IL 056012106)
Enumeration Date
2018-05-26
Last Update Date
2018-05-26
Business Address
KAITLIN S IBARA OTR/L
2917 N WISNER AVE APT 1
CHICAGO, IL 60618-6712
Phone number: 150-897-1010
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Mailing Address
KAITLIN S IBARA OTR/L
2917 N WISNER AVE APT 1
CHICAGO, IL 60618-6712
Phone number: 150-897-1010
Copy
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