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1750824389
MICHAEL MYNIHAN
CHICAGO, IL
NPI
1750824389
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: IL 164.006996)
Enumeration Date
2016-11-30
Last Update Date
2016-11-30
Business Address
-- MICHAEL MYNIHAN
528 W WELLINGTON AVE 106
CHICAGO, IL 60657-5413
Phone number: 419-779-6096
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Mailing Address
-- MICHAEL MYNIHAN
528 W WELLINGTON AVE 106
CHICAGO, IL 60657-5413
Phone number: 419-779-6096
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