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1376020941
RAIFORD PATRICK ROSSON
CHICAGO, IL
NPI
1376020941
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: IL 209016509)
Enumeration Date
2018-07-25
Last Update Date
2018-07-25
Business Address
Mr. RAIFORD PATRICK ROSSON APN
251 E HURON ST
CHICAGO, IL 60611-3055
Phone number: 312-695-6252
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Mailing Address
Mr. RAIFORD PATRICK ROSSON APN
1649 W BALMORAL AVE APT 2
CHICAGO, IL 60640-1121
Phone number: 803-439-3600
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