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1013262401
ALFREDO CARRASQUILLO
CHICAGO, IL
NPI
1013262401
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: IL 020.014003)
Enumeration Date
2012-07-21
Last Update Date
2012-07-21
Business Address
-- ALFREDO CARRASQUILLO RDH
4104 W NELSON ST
CHICAGO, IL 60641-5441
Phone number: 773-540-1740
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Mailing Address
-- ALFREDO CARRASQUILLO RDH
4104 W NELSON ST
CHICAGO, IL 60641-5441
Phone number: 773-540-1740
Copy
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