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1598417651
DIAMOND HINES
CICERO, IL
NPI
1598417651
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: IL 043131313)
Enumeration Date
2022-01-20
Last Update Date
2022-01-20
Business Address
DIAMOND HINES
5635 W ROOSEVELT RD
CICERO, IL 60804-1230
Phone number: 708-652-6500
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Mailing Address
DIAMOND HINES
7219 S FAIRFIELD AVE
CHICAGO, IL 60629-2025
Phone number: 312-678-9056
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