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Individual

DR. AMOS B MIAMEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3080 195TH CT, LYNWOOD, IL 60411-6325
(708) 910-4634
Mailing address
656 E 93RD ST, CHICAGO, IL 60619
(708) 910-4634

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Enumeration date
09/30/2009
Last updated
09/30/2009
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