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1699200410
VICENTA BAHENA
CHICAGO, IL
NPI
1699200410
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: IL 227.019424)
Enumeration Date
2017-04-30
Last Update Date
2017-04-30
Business Address
-- VICENTA BAHENA L.M.T
2541 N MANGO AVE
CHICAGO, IL 60639-2314
Phone number: 773-787-6155
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Mailing Address
-- VICENTA BAHENA L.M.T
2541 N MANGO AVE
CHICAGO, IL 60639-2314
Phone number: 773-787-9137
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