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1740590652
RICK LARA
CHICAGO, IL
NPI
1740590652
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2083P0901X Preventive Medicine, Public Health & General Preventive Medicine
(Licence: IL 001151)
Enumeration Date
2010-10-13
Last Update Date
2010-10-13
Business Address
-- RICK LARA
2133 W LEXINGTON ST 2ND FLOOR
CHICAGO, IL 60612-3707
Phone number: 312-746-7832
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Mailing Address
-- RICK LARA
2133 W LEXINGTON ST 2ND FLOOR
CHICAGO, IL 60612-3707
Phone number: 312-746-7832
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