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1083627830
JAY E TALLIS
BLOOMINGTON, IL
NPI
1083627830
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: IL 046-007271)
Enumeration Date
2006-08-14
Last Update Date
2014-11-28
Business Address
Dr. JAY E TALLIS OD
915 N MAIN ST
BLOOMINGTON, IL 61701-3043
Phone number: 309-827-8434
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Mailing Address
Dr. JAY E TALLIS OD
915 N MAIN ST
BLOOMINGTON, IL 61701-3043
Phone number: 309-827-8434
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