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1205291853
KHADIJAH KYSIA
CHICAGO, IL
NPI
1205291853
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171100000X Acupuncturist
(Licence: IL 198001115)
Enumeration Date
2015-12-28
Last Update Date
2015-12-28
Business Address
-- KHADIJAH KYSIA
1509 S STATE ST
CHICAGO, IL 60605-2804
Phone number: 312-344-1384
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Mailing Address
-- KHADIJAH KYSIA
1509 S STATE ST
CHICAGO, IL 60605-2804
Phone number: 312-344-1384
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