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1538813936
PHILLIP OZELL CARR
MAYWOOD, IL
NPI
1538813936
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IL 209024649)
Enumeration Date
2022-02-05
Last Update Date
2024-01-18
Business Address
PHILLIP OZELL CARR
1408 S 10TH AVE
MAYWOOD, IL 60153-1957
Phone number: 630-999-1143
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Mailing Address
PHILLIP OZELL CARR
1408 S 10TH AVE
MAYWOOD, IL 60153-1957
Phone number: 630-999-1143
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