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Individual

KORTNEY SPECTRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2410 SAMPSON ST, GREAT LAKES, IL 60088-2942
(847) 688-3331
Mailing address
35915 N WATSON AVE, INGLESIDE, IL 60041-9172

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
020011128
IL

Other

Enumeration date
01/04/2024
Last updated
01/04/2024
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