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Individual

GABRIEL IFEJIASI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
20067 MARLIN CT, LYNWOOD, IL 60411-6903
(708) 308-1702
Mailing address
20067 MARLIN CT, LYNWOOD, IL 60411-6903
(708) 308-1702

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
041487014
IL

Other

Enumeration date
02/27/2025
Last updated
02/27/2025
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