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1801450903
ALYSSA LUPTAK
PALATINE, IL
NPI
1801450903
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: IL 209.019335)
Enumeration Date
2019-04-24
Last Update Date
2019-04-24
Business Address
ALYSSA LUPTAK
161 N BABCOCK DR APT SUITE
PALATINE, IL 60074-5561
Phone number: 224-210-9918
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Mailing Address
ALYSSA LUPTAK
161 N BABCOCK DR
PALATINE, IL 60074-5561
Phone number: 224-210-9918
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