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1487413530
VIJAY NELLUTLA
NORTH CHICAGO, IL
NPI
1487413530
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-03-18
Last Update Date
2024-03-18
Business Address
VIJAY NELLUTLA
3333 GREEN BAY RD
NORTH CHICAGO, IL 60064-3037
Phone number: 224-209-6326
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Mailing Address
VIJAY NELLUTLA
3333 GREEN BAY RD
NORTH CHICAGO, IL 60064-3037
Phone number: 224-209-6326
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