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1003130816
THAIZE LARA MELO
CHICAGO, IL
NPI
1003130816
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: IL 019.028216)
Enumeration Date
2010-03-23
Last Update Date
2013-11-21
Business Address
-- THAIZE LARA MELO DDS
3 NORTH ABERDEEN ST APARTMENT 405
CHICAGO, IL 60607-2243
Phone number: 312-841-2661
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Mailing Address
-- THAIZE LARA MELO DDS
3 NORTH ABERDEEN ST APARTMENT 405
CHICAGO, IL 60607-2243
Phone number: 312-841-2661
Copy
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