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1992332183
THURSTON KALLAS
CHICAGO, IL
NPI
1992332183
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-03-26
Last Update Date
2020-03-26
Business Address
THURSTON KALLAS DO
2900 N LAKE SHORE DR
CHICAGO, IL 60657-5640
Phone number: 773-665-6730
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Mailing Address
THURSTON KALLAS DO
4316 HUNTSFIELD RD
FAYETTEVILLE, NC 28314-2533
Phone number:
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