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1801369665
NICHOLAS ANDRE HENTON
CHICAGO, IL
NPI
1801369665
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2019-01-04
Last Update Date
2019-01-04
Business Address
NICHOLAS ANDRE HENTON
5307 W QUINCY ST
CHICAGO, IL 60644-4259
Phone number: 773-391-2544
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Mailing Address
NICHOLAS ANDRE HENTON
5307 W QUINCY ST
CHICAGO, IL 60644-4259
Phone number: 773-391-2544
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