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1578735312
NICOLE LECLAIRE
CHICAGO, IL
NPI
1578735312
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085003782)
Enumeration Date
2008-04-01
Last Update Date
2010-08-13
Business Address
Ms. NICOLE LECLAIRE PA-C
1725 W HARRISON ST SUITE 1156
CHICAGO, IL 60612-3841
Phone number: 312-563-4098
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Mailing Address
Ms. NICOLE LECLAIRE PA-C
7377 N ROGERS AVE APT 206
CHICAGO, IL 60626-5960
Phone number: 773-910-0252
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