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1487998464
LISA KUKLA
OAK LAWN, IL
NPI
1487998464
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: IL 209009621)
Enumeration Date
2012-11-15
Last Update Date
2022-04-25
Business Address
LISA KUKLA APN-BC
4400 W 95TH ST POB 407
OAK LAWN, IL 60453-2654
Phone number: 708-684-7026
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Mailing Address
LISA KUKLA APN-BC
4440 W. 95TH STREET 6TH FLOOR OPP, HEART & VASCULAR CENTER
OAK LAWN, IL 60453
Phone number: 708-684-7032
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