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1558660407
MOHAMED AFFANEH
LOCKPORT, IL
NPI
1558660407
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172A00000X Driver
(Licence: IL a15054080159)
Enumeration Date
2011-03-17
Last Update Date
2011-03-17
Business Address
Mr. MOHAMED AFFANEH
1254 LACOMA DR
LOCKPORT, IL 60441-3200
Phone number: 708-415-8875
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Mailing Address
Mr. MOHAMED AFFANEH
1254 LACOMA DR
LOCKPORT, IL 60441-3200
Phone number: 708-415-8875
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