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1194108050
LAWRENCE JAMES C CALONCAGON
CHICAGO, IL
NPI
1194108050
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: IL 041.420568)
Enumeration Date
2015-07-09
Last Update Date
2015-07-09
Business Address
Mr. LAWRENCE JAMES C CALONCAGON
820 S DAMEN AVE
CHICAGO, IL 60612-3728
Phone number: 312-569-8387
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Mailing Address
Mr. LAWRENCE JAMES C CALONCAGON
9103 KEATING AVE APT 1A
SKOKIE, IL 60076-1569
Phone number: 773-791-2492
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