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1528786951
CANAN FAIRHURST
BOLINGBROOK, IL
NPI
1528786951
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
374U00000X Home Health Aide
(Licence: IL 3002264)
Enumeration Date
2022-08-22
Last Update Date
2022-08-22
Business Address
Mrs. CANAN FAIRHURST
484 W BOUGHTON RD
BOLINGBROOK, IL 60440-2398
Phone number: 630-296-0942
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Mailing Address
Mrs. CANAN FAIRHURST
484 W BOUGHTON RD
BOLINGBROOK, IL 60440-2398
Phone number: 630-296-0942
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