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1245013960
SHANTA GOMEZ
CHICAGO, IL
NPI
1245013960
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-08-16
Last Update Date
2023-08-16
Business Address
SHANTA GOMEZ LSW
929 W BELMONT AVE
CHICAGO, IL 60657-4408
Phone number: 773-496-4433
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Mailing Address
SHANTA GOMEZ LSW
2901 N WASHTENAW AVE
CHICAGO, IL 60618-7818
Phone number: 847-414-0461
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