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1093157992
CHAD R SLAGLE
ROCKFORD, IL
NPI
1093157992
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: IL 046010715)
Enumeration Date
2013-07-22
Last Update Date
2014-10-05
Business Address
Dr. CHAD R SLAGLE O.D.
575 S PERRYVILLE RD
ROCKFORD, IL 61108-2530
Phone number: 815-315-9358
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Mailing Address
Dr. CHAD R SLAGLE O.D.
224 OAK KNLS S
ROCKFORD, IL 61108-1731
Phone number: 815-505-8969
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