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1972757052
PHUONG HUYNH NAKAMURA
PARK RIDGE, IL
NPI
1972757052
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
282NC2000X General Acute Care Hospital Children
(Licence: IL 164.003794)
Enumeration Date
2008-11-16
Last Update Date
2008-11-16
Business Address
MRS. PHUONG HUYNH NAKAMURA
1775 DEMPSTER ST
PARK RIDGE, IL 60068-1143
Phone number: 847-723-6137
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Mailing Address
MRS. PHUONG HUYNH NAKAMURA
1452 N CHELSEA AVE
PALATINE, IL 60067-2482
Phone number: 847-477-3624
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