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1992189724
JESSICA SHAPE
CHICAGO, IL
NPI
1992189724
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: IL 164006297)
Enumeration Date
2015-07-10
Last Update Date
2015-07-10
Business Address
-- JESSICA SHAPE
710 N FAIRBANKS CT
CHICAGO, IL 60611-3013
Phone number: 312-926-4082
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Mailing Address
-- JESSICA SHAPE
710 N FAIRBANKS CT
CHICAGO, IL 60611-3013
Phone number:
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