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1124667621
JACQUELYN COOPER
HILLSIDE, IL
NPI
1124667621
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: IL 043081911)
Enumeration Date
2019-12-31
Last Update Date
2019-12-31
Business Address
JACQUELYN COOPER
230 N LIND AVE
HILLSIDE, IL 60162-1538
Phone number: 773-587-0827
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Mailing Address
JACQUELYN COOPER
230 N LIND AVE
HILLSIDE, IL 60162-1538
Phone number: 773-587-0827
Copy
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