LATRECE RUSSELL

CHICAGO, IL
NPI1073936100
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy247200000X Technician, Other
Enumeration Date2014-01-24
Last Update Date2014-01-24
Business Address
-- LATRECE RUSSELL
4734 S PRAIRIE AVE
CHICAGO, IL 60615-1206
Phone number: 708-252-1958
Mailing Address
-- LATRECE RUSSELL
4734 S PRAIRIE AVE UNIT1
CHICAGO, IL 60615-1206
Phone number: 708-252-1958
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