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1023080553
KEITH LA VALLEE
CHICAGO, IL
NPI
1023080553
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: IL 046009075)
Enumeration Date
2006-02-07
Last Update Date
2007-07-08
Business Address
Dr. KEITH LA VALLEE o.d.
2111 W SUPERIOR ST
CHICAGO, IL 60612-1315
Phone number: 312-226-1020
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Mailing Address
Dr. KEITH LA VALLEE o.d.
2111 W SUPERIOR ST
CHICAGO, IL 60612-1315
Phone number: 312-226-1020
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