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1104505189
MICHAEL DOOGAN
BELLE RIVE, IL
NPI
1104505189
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3747A0650X Technician, Attendant Care Provider
Enumeration Date
2023-07-17
Last Update Date
2023-07-17
Business Address
MICHAEL DOOGAN
405 S MAIN ST
BELLE RIVE, IL 62810-1228
Phone number: 618-316-1626
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Mailing Address
MICHAEL DOOGAN
6257 ANDERSON SCHOOL RD
MC LEANSBORO, IL 62859-4626
Phone number:
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