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1881443802
SHANTA D AMICKS
HARVEY, IL
NPI
1881443802
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
291U00000X Clinical Medical Laboratory
Additional Taxonomies
251E00000X Home Health
Enumeration Date
2024-05-13
Last Update Date
2024-06-20
Business Address
SHANTA D AMICKS
147 W 150TH ST
HARVEY, IL 60426
Phone number: 708-539-8585
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Mailing Address
SHANTA D AMICKS
147 W 150TH ST
HARVEY, IL 60426
Phone number: 708-539-8585
Copy
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