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1023036696
TIMOTHY EDWARDS
SPRINGFIELD, IL
NPI
1023036696
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: IL 0466007549)
Enumeration Date
2006-07-18
Last Update Date
2007-11-16
Business Address
Dr. TIMOTHY EDWARDS O.D.
121 N GRAND AVE W
SPRINGFIELD, IL 62702-2562
Phone number: 217-528-3233
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Mailing Address
Dr. TIMOTHY EDWARDS O.D.
121 N GRAND AVE W
SPRINGFIELD, IL 62702-2562
Phone number: 217-528-3233
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