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1043268485
GEORGE M NISTA
CHICAGO, IL
NPI
1043268485
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: IL 0460068861)
Enumeration Date
2006-05-05
Last Update Date
2011-12-30
Business Address
-- GEORGE M NISTA o.d.
3135 W 111TH ST
CHICAGO, IL 60655-2223
Phone number: 773-233-4448
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Mailing Address
-- GEORGE M NISTA o.d.
3135 W 111TH ST
CHICAGO, IL 60655-2223
Phone number: 773-233-4448
Copy
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