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1861980435
STEVNIKA RUSSELL
CHICAGO, IL
NPI
1861980435
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: IL 043-104842)
Enumeration Date
2018-04-28
Last Update Date
2018-04-28
Business Address
STEVNIKA RUSSELL
5517 N KENMORE AVE
CHICAGO, IL 60640-1515
Phone number: 773-275-7962
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Mailing Address
STEVNIKA RUSSELL
10929 S KEATING AVE APT 3N
OAK LAWN, IL 60453-6262
Phone number: 312-860-8459
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