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1720011760
DOMINIC STEPHEN LASCOLA
EVERGREEN PARK, IL
NPI
1720011760
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: IL 038-010620)
Enumeration Date
2006-07-09
Last Update Date
2009-01-13
Business Address
Dr. DOMINIC STEPHEN LASCOLA D.C.
3613 W 95TH ST
EVERGREEN PARK, IL 60805-2119
Phone number: 708-422-9600
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Mailing Address
Dr. DOMINIC STEPHEN LASCOLA D.C.
3613 W 95TH ST
EVERGREEN PARK, IL 60805-2119
Phone number: 708-422-9600
Copy
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