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1821520800
ELYSE FAGAN
CHICAGO, IL
NPI
1821520800
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WL0100X Registered Nurse, Lactation Consultant
(Licence: IL 041363532)
Enumeration Date
2017-03-29
Last Update Date
2017-03-29
Business Address
-- ELYSE FAGAN CNS, IBCLC
10430 S SPAULDING AVE
CHICAGO, IL 60655-2427
Phone number: 708-945-9673
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Mailing Address
-- ELYSE FAGAN CNS, IBCLC
10430 S SPAULDING AVE
CHICAGO, IL 60655-2427
Phone number: 708-945-9673
Copy
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