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1316950405
JAMES PRUSHA
CHICAGO, IL
NPI
1316950405
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: IL 164.003327)
Enumeration Date
2006-08-13
Last Update Date
2011-09-22
Business Address
Mr. JAMES PRUSHA RD
1525 W HOMER ST # 101
CHICAGO, IL 60642-1280
Phone number: 773-443-8680
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Mailing Address
Mr. JAMES PRUSHA RD
1525 W HOMER ST # 101
CHICAGO, IL 60642-1280
Phone number: 773-443-8680
Copy
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