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Individual

MISS JANEAN ROSE JUMONVILLE I

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
30 E HURON ST APT 1106, CHICAGO, IL 60611-2787
(847) 997-7157
Mailing address
32 MONTICELLO DR, DYER, IN 46311-1367
(219) 671-7460

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
05/13/2009
Last updated
05/13/2009
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