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1063552685
JAMES R. FROST
PEORIA, IL
NPI
1063552685
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 019 015936)
Enumeration Date
2007-02-07
Last Update Date
2007-07-08
Business Address
Dr. JAMES R. FROST D.D.S.
2001 W WILLOW KNOLLS DR SUITE #204
PEORIA, IL 61614-1290
Phone number: 309-692-8118
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Mailing Address
Dr. JAMES R. FROST D.D.S.
2001 W WILLOW KNOLLS DR SUITE #204
PEORIA, IL 61614-1290
Phone number: 309-692-8118
Copy
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