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1609154095
MARYSUE WITCHGER
CHICAGO, IL
NPI
1609154095
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: IL 164.005489)
Enumeration Date
2011-08-02
Last Update Date
2011-08-02
Business Address
Mrs. MARYSUE WITCHGER RD, LD
4027 N AVERS AVE
CHICAGO, IL 60618-1901
Phone number: 773-583-8963
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Mailing Address
Mrs. MARYSUE WITCHGER RD, LD
4027 N AVERS AVE
CHICAGO, IL 60618-1901
Phone number: 773-583-8963
Copy
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