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1861108771
BRIDGET GORMAN
CHICAGO, IL
NPI
1861108771
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: IL 164008816)
Enumeration Date
2023-01-24
Last Update Date
2023-01-24
Business Address
BRIDGET GORMAN RD
2320 E 93RD ST
CHICAGO, IL 60617-3909
Phone number: 773-967-5611
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Mailing Address
BRIDGET GORMAN RD
10606 S MAPLEWOOD AVE
CHICAGO, IL 60655-1113
Phone number:
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