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1821495276
LOUBABATOU BOUZOU
LINCOLNSHIRE, IL
NPI
1821495276
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085005045)
Enumeration Date
2014-12-01
Last Update Date
2019-11-12
Business Address
LOUBABATOU BOUZOU PA
920 MILWAUKEE AVE
LINCOLNSHIRE, IL 60069
Phone number: 847-866-7846
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Mailing Address
LOUBABATOU BOUZOU PA
920 MILWAUKEE AVE
LINCOLNSHIRE, IL 60069-3839
Phone number: 847-866-7846
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