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Individual

LAURA BOOKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
12525 RENAISSANCE CIR, HOMER GLEN, IL 60491-5896
(708) 590-5050
Mailing address
12525 RENAISSANCE CIR, HOMER GLEN, IL 60491-5896
(708) 590-5050

Taxonomy

Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
IL

Other

Enumeration date
01/22/2015
Last updated
01/22/2015
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