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1851767511
STEPHANIE JOLYN JANSMA
CHICAGO, IL
NPI
1851767511
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: IL 164.006552)
Enumeration Date
2015-08-18
Last Update Date
2015-08-18
Business Address
-- STEPHANIE JOLYN JANSMA
2003 W FULTON ST
CHICAGO, IL 60612-2345
Phone number: 312-850-3438
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Mailing Address
-- STEPHANIE JOLYN JANSMA
18248 RIDGEWOOD AVE
LANSING, IL 60438-3024
Phone number: 708-805-9760
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