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Individual

MRS. DENISE JOANNE AMBUEHL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
RR 2 BOX 227, MULBERRY GROVE, IL 62262-9305
(618) 425-3770
Mailing address
RR 2 BOX 227, MULBERRY GROVE, IL 62262-9305
(618) 425-3770

Taxonomy

Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary

Other

Enumeration date
03/29/2007
Last updated
07/08/2007
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