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1083613293
ANTHONY V DECEANNE
PEORIA, IL
NPI
1083613293
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: IL 016004489)
Enumeration Date
2005-07-19
Last Update Date
2010-03-29
Business Address
Dr. ANTHONY V DECEANNE DPM
5017 N GLEN PARK PLACE RD
PEORIA, IL 61614-4677
Phone number: 309-691-1589
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Mailing Address
Dr. ANTHONY V DECEANNE DPM
435 W DETWEILLER DR
PEORIA, IL 61615-2116
Phone number: 309-689-8859
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