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1770052151
AMANDA PRENTICE
CHICAGO, IL
NPI
1770052151
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 018002085)
Enumeration Date
2018-11-15
Last Update Date
2018-11-15
Business Address
AMANDA PRENTICE
820 S DAMEN AVE FL 4
CHICAGO, IL 60612-3728
Phone number: 312-569-6669
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Mailing Address
AMANDA PRENTICE
1104 W MADISON ST APT 3N
CHICAGO, IL 60607-2029
Phone number:
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