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1194291237
ANGELA ROSE DEPA
LONG GROVE, IL
NPI
1194291237
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209018117)
Enumeration Date
2018-10-16
Last Update Date
2021-12-20
Business Address
ANGELA ROSE DEPA
3880 SALEM LAKE DR STE F
LONG GROVE, IL 60047-5292
Phone number: 847-719-2220
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Mailing Address
ANGELA ROSE DEPA
3880 SALEM LAKE DR STE F
LONG GROVE, IL 60047-5292
Phone number: 847-719-2220
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