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1417589649
LATAUNJA PARESE WEAVER
CHICAGO, IL
NPI
1417589649
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: IL 043077883)
Enumeration Date
2020-02-05
Last Update Date
2020-02-05
Business Address
LATAUNJA PARESE WEAVER
7436 S ELLIS AVE
CHICAGO, IL 60619-2032
Phone number: 773-503-9114
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Mailing Address
LATAUNJA PARESE WEAVER
7436 S ELLIS AVE
CHICAGO, IL 60619-2032
Phone number: 773-503-9114
Copy
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