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1912607698
ANASTASIA GANT KANEGUSUKU
CHICAGO, IL
NPI
1912607698
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine
(Licence: IL NA)
Enumeration Date
2023-03-09
Last Update Date
2023-03-09
Business Address
ANASTASIA GANT KANEGUSUKU
5841 S MARYLAND AVE # MC0006
CHICAGO, IL 60637-1443
Phone number: 773-702-5338
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Mailing Address
ANASTASIA GANT KANEGUSUKU
5841 S MARYLAND AVE # MC0006
CHICAGO, IL 60637-1443
Phone number: 773-702-5338
Copy
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