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1679626188
MARTHA MARIE GENTRY
OAK LAWN, IL
NPI
1679626188
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: IL 043-081507)
Enumeration Date
2007-01-19
Last Update Date
2007-07-08
Business Address
Mrs. MARTHA MARIE GENTRY
4700 W 95TH ST STE LL5
OAK LAWN, IL 60453-2575
Phone number: 708-891-1651
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Mailing Address
Mrs. MARTHA MARIE GENTRY
790 CAMPBELL AVE
CALUMET CITY, IL 60409-4306
Phone number: 708-891-1651
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