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1922618594
ALTHEA MOORE
CHICAGO, IL
NPI
1922618594
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: IL 020.011098)
Enumeration Date
2020-08-07
Last Update Date
2020-08-07
Business Address
ALTHEA MOORE
2020 W HARRISON ST
CHICAGO, IL 60612-3741
Phone number: 312-572-4785
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Mailing Address
ALTHEA MOORE
1645 COTTAGE GROVE AVE
FORD HEIGHTS, IL 60411-3818
Phone number: 312-572-4785
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