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Individual
ROBERT PAUL CAFE
Active
Individual
ROBERT PAUL CAFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041370960
IL
363LF0000X
Family Nurse Practitioner
Primary
209017204
IL
Other
Enumeration date
02/28/2018
Last updated
02/28/2018
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