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1649809484
NAYSON LUIS FERNANDES
CHICAGO, IL
NPI
1649809484
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-04-03
Last Update Date
2020-04-03
Business Address
NAYSON LUIS FERNANDES
1740 W TAYLOR ST
CHICAGO, IL 60612-7232
Phone number: 866-600-2273
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Mailing Address
NAYSON LUIS FERNANDES
912 S WOOD ST RM 174
CHICAGO, IL 60612-4300
Phone number: 866-600-2273
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