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1093197444
TASIA DOMINIQUE WALKER
CHICAGO, IL
NPI
1093197444
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: IL 020015063)
Enumeration Date
2015-06-22
Last Update Date
2015-07-02
Business Address
-- TASIA DOMINIQUE WALKER RDH
333 S ASHLAND AVE
CHICAGO, IL 60607-2703
Phone number: 312-738-6170
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Mailing Address
-- TASIA DOMINIQUE WALKER RDH
4219 W 83RD ST
CHICAGO, IL 60652-2238
Phone number: 773-715-1356
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