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1023115920
TERESA K GORDON
CHICAGO, IL
NPI
1023115920
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Other Name
TERESA K GORDON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172A00000X Driver
(Licence: IL 172A00000X)
Enumeration Date
2006-09-20
Last Update Date
2007-07-08
Business Address
Ms. TERESA K GORDON
3625 S LAKE PARK AVE #1107
CHICAGO, IL 60653-1468
Phone number: 773-538-1637
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Mailing Address
Ms. TERESA K GORDON
3625 S LAKE PARK AVE #1107
CHICAGO, IL 60653-1468
Phone number: 773-538-1637
Copy
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