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1093083966
RENETTA DENISE LINCOLN-STALLWORTH
CHICAGO, IL
NPI
1093083966
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: IL 043084625)
Enumeration Date
2011-12-07
Last Update Date
2011-12-07
Business Address
Mrs. RENETTA DENISE LINCOLN-STALLWORTH LPN
11110 S HOMEWOOD AVE #A1
CHICAGO, IL 60643-4233
Phone number: 773-425-5951
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Mailing Address
Mrs. RENETTA DENISE LINCOLN-STALLWORTH LPN
11110 S HOMEWOOD AVE #A1
CHICAGO, IL 60643-4233
Phone number: 773-425-5951
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