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1659932028
VIVIANA CARBAJAL
CHICAGO, IL
NPI
1659932028
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209019628)
Enumeration Date
2019-06-25
Last Update Date
2019-10-15
Business Address
VIVIANA CARBAJAL FNP
3258 W 111TH ST
CHICAGO, IL 60655-2729
Phone number: 773-629-8217
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Mailing Address
VIVIANA CARBAJAL FNP
3258 W 111TH ST
CHICAGO, IL 60655-2729
Phone number: 773-629-8217
Copy
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