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1467195222
JAMISE GANT
CHICAGO, IL
NPI
1467195222
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209.025078)
Enumeration Date
2022-04-19
Last Update Date
2022-04-29
Business Address
JAMISE GANT APRN
645 W 115TH ST
CHICAGO, IL 60628-5245
Phone number: 773-220-8651
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Mailing Address
JAMISE GANT APRN
645 W 115TH ST
CHICAGO, IL 60628-5245
Phone number: 773-220-8651
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