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Individual

DIANNA LYNN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2413 VON ESCH RD, PLAINFIELD, IL 60586-9079
(815) 439-0443
Mailing address
2405 ESSINGTON RD, #193, JOLIET, IL 60435-1200
(815) 439-0443

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
IL

Other

Enumeration date
08/05/2007
Last updated
08/05/2007
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