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1053403626
KENNETH H. INOUE
BLOOMINGTON, IL
NPI
1053403626
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IL 036-091177)
Enumeration Date
2006-09-29
Last Update Date
2014-03-07
Business Address
-- KENNETH H. INOUE
1505 EASTLAND DR
BLOOMINGTON, IL 61701-3534
Phone number: 309-661-2368
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Mailing Address
-- KENNETH H. INOUE
1505 EASTLAND DR
BLOOMINGTON, IL 61701-3534
Phone number: 309-661-2368
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