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1154072940
COLLEEN T WHITE
CHICAGO, IL
NPI
1154072940
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
Enumeration Date
2022-01-12
Last Update Date
2022-01-12
Business Address
COLLEEN T WHITE
11235 S MAPLEWOOD AVE
CHICAGO, IL 60655-1420
Phone number: 773-343-3780
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Mailing Address
COLLEEN T WHITE
11235 S MAPLEWOOD AVE
CHICAGO, IL 60655-1420
Phone number: 773-343-3780
Copy
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