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1114448578
JACQUELINE MAGALLANES
CHICAGO, IL
NPI
1114448578
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IL 019.031220)
Enumeration Date
2017-07-06
Last Update Date
2018-03-17
Business Address
Dr. JACQUELINE MAGALLANES DMD
7124 W DIVERSEY AVE
CHICAGO, IL 60707-1601
Phone number: 773-237-8855
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Mailing Address
Dr. JACQUELINE MAGALLANES DMD
9S616 HIGHLAND RD
WILLOWBROOK, IL 60527-7017
Phone number: 312-927-0537
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