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1710271952
AMANDA E LOOMIS
CHICAGO, IL
NPI
1710271952
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: IL 57710)
Enumeration Date
2011-06-06
Last Update Date
2011-06-06
Business Address
-- AMANDA E LOOMIS CTRS
2211 N OAK PARK AVE
CHICAGO, IL 60707-3351
Phone number: 773-385-5515
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Mailing Address
-- AMANDA E LOOMIS CTRS
2211 N OAK PARK AVE
CHICAGO, IL 60707-3351
Phone number:
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