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1265295117
JACKIE JIAQI WU
CHICAGO, IL
NPI
1265295117
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: IL 164.009460)
Enumeration Date
2024-02-02
Last Update Date
2024-02-02
Business Address
JACKIE JIAQI WU
3218 S ARCHER AVE UNIT 401
CHICAGO, IL 60608-1205
Phone number: 312-459-1657
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Mailing Address
JACKIE JIAQI WU
3218 S ARCHER AVE UNIT 401
CHICAGO, IL 60608-1205
Phone number: 312-459-1657
Copy
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