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1437934502
SUSAMMA MANOJ
NORTH CHICAGO, IL
NPI
1437934502
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: IL 043.081918)
Enumeration Date
2023-08-28
Last Update Date
2023-08-28
Business Address
SUSAMMA MANOJ
3001 GREEN BAY RD
NORTH CHICAGO, IL 60064-3048
Phone number: 224-610-1172
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Mailing Address
SUSAMMA MANOJ
3001 GREEN BAY RD
NORTH CHICAGO, IL 60064-3048
Phone number:
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