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1023496767
LAURA MICHELLE DOUGLAS
CHICAGO, IL
NPI
1023496767
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: IL 019.030328)
Enumeration Date
2015-05-14
Last Update Date
2016-11-30
Business Address
LAURA MICHELLE DOUGLAS D.M.D.
570 E 115TH ST
CHICAGO, IL 60628-5740
Phone number: 773-768-5000
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Mailing Address
LAURA MICHELLE DOUGLAS D.M.D.
9119 S EXCHANGE AVE
CHICAGO, IL 60617-4225
Phone number: 773-768-5000
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