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1104864297
FRATMISHIN JOHN ALEXANDER
CHICAGO, IL
NPI
1104864297
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IL 019019290)
Enumeration Date
2006-06-02
Last Update Date
2007-07-08
Business Address
-- FRATMISHIN JOHN ALEXANDER DMD
6408 N CALIFORNIA AVE
CHICAGO, IL 60645-5209
Phone number: 773-338-6565
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Mailing Address
-- FRATMISHIN JOHN ALEXANDER DMD
6408 N CALIFORNIA AVE PO BOX 597770
CHICAGO, IL 60645-5209
Phone number: 773-338-6565
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