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1972208296
TARA LANE PENTONEY
CHICAGO, IL
NPI
1972208296
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: IL 164.008202)
Enumeration Date
2023-04-04
Last Update Date
2023-04-04
Business Address
TARA LANE PENTONEY RD,LDN
160 N WACKER DR UNIT 201
CHICAGO, IL 60606-1633
Phone number: 312-374-5399
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Mailing Address
TARA LANE PENTONEY RD,LDN
160 N WACKER DR UNIT 201
CHICAGO, IL 60606-1633
Phone number:
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