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1366936627
LAUREL VANA FRAUSTO
CHICAGO, IL
NPI
1366936627
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IL 019.031612)
Enumeration Date
2018-06-20
Last Update Date
2018-06-20
Business Address
Dr. LAUREL VANA FRAUSTO DMD, PhD
811 W WELLINGTON AVE
CHICAGO, IL 60657-5123
Phone number: 630-217-1208
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Mailing Address
Dr. LAUREL VANA FRAUSTO DMD, PhD
946 N WOOD ST UNIT 2
CHICAGO, IL 60622-5004
Phone number: 630-217-1208
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