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1104459650
CAMERON LEE MAYFIELD
CHICAGO, IL
NPI
1104459650
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085.008227)
Enumeration Date
2020-02-12
Last Update Date
2021-10-16
Business Address
CAMERON LEE MAYFIELD
2800 S CALIFORNIA AVE
CHICAGO, IL 60608-5107
Phone number: 773-674-7488
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Mailing Address
CAMERON LEE MAYFIELD
2800 S CALIFORNIA AVE
CHICAGO, IL 60608-5107
Phone number: 773-674-7488
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