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1013268903
TICONNA D PURDLE
CHICAGO, IL
NPI
1013268903
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209009555)
Enumeration Date
2012-10-02
Last Update Date
2012-10-02
Business Address
-- TICONNA D PURDLE N.P.
7325 S EXCHANGE AVE
CHICAGO, IL 60649-3407
Phone number: 773-731-7300
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Mailing Address
-- TICONNA D PURDLE N.P.
21333 HAGGERTY RD SUITE 150
NOVI, MI 48375-5510
Phone number: 248-662-0250
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