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Individual

AMALIA HOSKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PBT

Contact information

Practice address
7120 W 114TH ST, WORTH, IL 60482-2039
(708) 577-3206
(708) 586-2221
Mailing address
7120 W 114TH ST, WORTH, IL 60482-2039
(708) 577-3206
(708) 586-2221

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary

Other

Enumeration date
06/02/2014
Last updated
09/15/2015
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