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1104579655
LASHONDA STOCKLEY
BLOOMINGDALE, IL
NPI
1104579655
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209.024287)
Enumeration Date
2022-02-03
Last Update Date
2022-02-03
Business Address
Ms. LASHONDA STOCKLEY
1 TIFFANY PT STE 106
BLOOMINGDALE, IL 60108-2915
Phone number: 224-653-9507
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Mailing Address
Ms. LASHONDA STOCKLEY
1 TIFFANY PT STE 106
BLOOMINGDALE, IL 60108-2915
Phone number: 224-653-9507
Copy
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