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1194761031
CARMELITA T CARRIAGA
CHICAGO, IL
NPI
1194761031
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: IL 036044574)
Enumeration Date
2006-06-21
Last Update Date
2007-07-08
Business Address
Dr. CARMELITA T CARRIAGA md, faafp
1029 N SACRAMENTO AVE
CHICAGO, IL 60622-2746
Phone number: 773-278-8555
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Mailing Address
Dr. CARMELITA T CARRIAGA md, faafp
1029 N SACRAMENTO AVE
CHICAGO, IL 60622-2746
Phone number: 773-278-8555
Copy
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