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1285304816
ETHAN HOUSKAMP
CHICAGO, IL
NPI
1285304816
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-09-15
Last Update Date
2021-09-15
Business Address
ETHAN HOUSKAMP
240 E HURON ST STE 1-200
CHICAGO, IL 60611-2909
Phone number: 312-503-7975
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Mailing Address
ETHAN HOUSKAMP
240 E HURON ST STE 1-200
CHICAGO, IL 60611-2909
Phone number:
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