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1154076461
FAITH MANCOL
JOLIET, IL
NPI
1154076461
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085-008655)
Enumeration Date
2022-02-15
Last Update Date
2022-02-15
Business Address
FAITH MANCOL
951 ESSINGTON RD
JOLIET, IL 60435-8439
Phone number: 815-744-4551
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Mailing Address
FAITH MANCOL
900 RAND RD STE 300
DES PLAINES, IL 60016-2359
Phone number: 847-324-3976
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