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Individual

LAURENCIA OUEDRAOGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1620 W HARRISON ST, CHICAGO, IL 60612-3801
(312) 902-5000
Mailing address
3555 W LYNDALE ST UNIT 1D, CHICAGO, IL 60647-3562

Taxonomy

Speciality
Code
Description
License number
State
163WC1600X
Continuing Education/Staff Development Registered Nurse
Primary
041517562
IL

Other

Enumeration date
07/21/2026
Last updated
07/21/2026
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