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1225762057
GRACE DIVINA ESMALLA
FRANKFORT, IL
NPI
1225762057
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IL 209025438)
Enumeration Date
2022-07-16
Last Update Date
2022-07-16
Business Address
Mrs. GRACE DIVINA ESMALLA APRN, PMHNP-BC
10209 W LINCOLN HWY
FRANKFORT, IL 60423-1279
Phone number: 708-998-2979
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Mailing Address
Mrs. GRACE DIVINA ESMALLA APRN, PMHNP-BC
10209 W LINCOLN HWY
FRANKFORT, IL 60423-1279
Phone number: 708-998-2979
Copy
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