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1629300942
JACQUELYN LAVETTE ALLEN
SOUTH HOLLAND, IL
NPI
1629300942
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: IL 056007568)
Enumeration Date
2010-02-11
Last Update Date
2010-02-11
Business Address
Mrs. JACQUELYN LAVETTE ALLEN MOTR/L, CPAM
17366 WAUSAU AVE
SOUTH HOLLAND, IL 60473-3359
Phone number: 708-705-2670
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Mailing Address
Mrs. JACQUELYN LAVETTE ALLEN MOTR/L, CPAM
17366 WAUSAU AVE
SOUTH HOLLAND, IL 60473-3359
Phone number: 708-705-2670
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