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Individual provider · Student in an Organized Health Care Education/Training Program · Park Forest, IL

NPI
1851713291
Type
Individual (Type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program
Specialty group
Student, Health Care
Taxonomy code
390200000X
Sex
Female
Sole proprietor
No
Enumerated
2014-01-18
Last updated
2015-05-20
Practice location
124 Elm St
Park Forest, IL 60466-1744
(312) 437-0729

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