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1235432071
MARIO ANTONIO FAVELA
CHICAGO, IL
NPI
1235432071
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2010-12-17
Last Update Date
2010-12-17
Business Address
Mr. MARIO ANTONIO FAVELA MSW
820 S DAMEN AVE
CHICAGO, IL 60612-3728
Phone number: 312-569-8462
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Mailing Address
Mr. MARIO ANTONIO FAVELA MSW
820 S DAMEN AVE
CHICAGO, IL 60612-3728
Phone number: 312-569-8462
Copy
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