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1851143135
MAURICE PUOMAAYE KONTA
CHICAGO, IL
NPI
1851143135
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WA2000X Registered Nurse, Administrator
(Licence: IL 041399052)
Enumeration Date
2024-04-02
Last Update Date
2024-04-02
Business Address
MAURICE PUOMAAYE KONTA
7220 S SOUTH SHORE DR APT 406
CHICAGO, IL 60649-2751
Phone number: 872-901-2057
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Mailing Address
MAURICE PUOMAAYE KONTA
7220 S SOUTH SHORE DR APT 406
CHICAGO, IL 60649-2751
Phone number: 312-774-5315
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