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1710482542
LANISHA BLOCKMON
CHICAGO, IL
NPI
1710482542
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
Enumeration Date
2018-03-25
Last Update Date
2023-11-13
Business Address
Ms. LANISHA BLOCKMON
8214 S EVANS AVE
CHICAGO, IL 60619-5306
Phone number: 773-853-6694
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Mailing Address
Ms. LANISHA BLOCKMON
8214 S EVANS AVE
CHICAGO, IL 60619-5306
Phone number: 773-853-6694
Copy
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