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Individual

MRS. RACHAEL TEAL SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
EMT-P

Contact information

Practice address
28495 N OAK LN, LIBERTYVILLE, IL 60048-9411
(847) 254-6472
Mailing address
PO BOX 356, MUNDELEIN, IL 60060-0356
(847) 254-6472

Taxonomy

Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
060086832
IL

Other

Enumeration date
03/26/2012
Last updated
03/26/2012
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