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1134888480
SHALANDA LEWIS
CHICAGO, IL
NPI
1134888480
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
247ZC0005X Pathology, Clinical Laboratory Director, Non-physician
(Licence: IL 14D2245600)
Enumeration Date
2021-12-14
Last Update Date
2021-12-14
Business Address
SHALANDA LEWIS
3136 S PRAIRIE AVE
CHICAGO, IL 60616-3904
Phone number: 312-479-1530
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Mailing Address
SHALANDA LEWIS
3136 S PRAIRIE AVE
CHICAGO, IL 60616-3904
Phone number: 312-479-1530
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