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1104189802
STEVE GENTRY
CHAMPAIGN, IL
NPI
1104189802
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036136706)
Enumeration Date
2012-06-19
Last Update Date
2024-10-18
Business Address
STEVE GENTRY MD
1701 W. CURTIS RD.
CHAMPAIGN, IL 61822-9678
Phone number: 217-365-6201
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Mailing Address
STEVE GENTRY MD
611 W. PARK ST. FAPC
URBANA, IL 61801-2500
Phone number: 217-902-5291
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