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1376731638
ROSA L FUENTES
WOODRIDGE, IL
NPI
1376731638
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: IL 209006367)
Enumeration Date
2007-10-11
Last Update Date
2011-02-24
Business Address
Ms. ROSA L FUENTES N.P.
2420 DANBURY DR APT B2
WOODRIDGE, IL 60517-2096
Phone number: 630-479-3382
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Mailing Address
Ms. ROSA L FUENTES N.P.
5841 S MARYLAND AVE
CHICAGO, IL 60637-1447
Phone number: 773-702-1000
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