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1154970135
MAYELA BERMUDEZ
CHICAGO, IL
NPI
1154970135
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209019363)
Enumeration Date
2019-09-11
Last Update Date
2019-09-11
Business Address
MAYELA BERMUDEZ
5005 S KOLIN AVE
CHICAGO, IL 60632-4544
Phone number: 773-410-1673
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Mailing Address
MAYELA BERMUDEZ
5005 S KOLIN AVE
CHICAGO, IL 60632-4544
Phone number: 773-410-1673
Copy
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