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1477009793
SHAWANDA CAROTHERS
CHICAGO, IL
NPI
1477009793
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: IL 020.013060)
Enumeration Date
2016-08-28
Last Update Date
2016-08-28
Business Address
Ms. SHAWANDA CAROTHERS RDH
8321 S. HERMITAGE AVE
CHICAGO, IL 60620-4630
Phone number: 773-386-4222
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Mailing Address
Ms. SHAWANDA CAROTHERS RDH
8321 S HERMITAGE AVE
CHICAGO, IL 60620-4630
Phone number: 773-386-4222
Copy
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