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1073606323
SHAI NYI
PONTIAC, IL
NPI
1073606323
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: IL 036-085947)
Enumeration Date
2006-10-01
Last Update Date
2010-06-25
Business Address
-- SHAI NYI
2500 W REYNOLDS ST
PONTIAC, IL 61764-9774
Phone number: 815-844-6551
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Mailing Address
-- SHAI NYI
2500 W REYNOLDS ST
PONTIAC, IL 61764-9774
Phone number: 815-844-6551
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