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1205052529
NASSER TAVAKOLY
BOLINGBROOK, IL
NPI
1205052529
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
246ZS0410X Specialist/Technologist, Other, Surgical Technologist
(Licence: IL 238.000054)
Enumeration Date
2007-04-17
Last Update Date
2007-07-08
Business Address
Mr. NASSER TAVAKOLY RCSA
101 ROYCE RD. SUITE 5
BOLINGBROOK, IL 60440
Phone number: 630-759-9070
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Mailing Address
Mr. NASSER TAVAKOLY RCSA
P.O.BOX 9274
NAPERVILLE, IL 60567-9274
Phone number: 630-759-9070
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