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1497381941
MAZOUZAH OMAR
CHICAGO, IL
NPI
1497381941
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: IL 209021046)
Enumeration Date
2020-03-17
Last Update Date
2020-03-17
Business Address
MAZOUZAH OMAR NP
1620 W HARRISON ST
CHICAGO, IL 60612-3801
Phone number: 708-928-3421
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Mailing Address
MAZOUZAH OMAR NP
8148 W 111TH ST APT B1
PALOS HILLS, IL 60465-3234
Phone number: 708-928-3421
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