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1144806605
JIN TAO
ROCKFORD, IL
NPI
1144806605
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-03-23
Last Update Date
2021-03-23
Business Address
JIN TAO
5970 CHURCHVIEW DR
ROCKFORD, IL 61107-2574
Phone number: 815-971-8990
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Mailing Address
JIN TAO
529 JENNIFER CIR
MUNDELEIN, IL 60060-4111
Phone number: 651-207-7312
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